Provider Demographics
NPI:1457559320
Name:BERNARD, ASHLEY CONOVER (MS, SLP-CCC)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:CONOVER
Last Name:BERNARD
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9131 RUSH BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-5736
Mailing Address - Country:US
Mailing Address - Phone:859-948-9020
Mailing Address - Fax:
Practice Address - Street 1:9131 RUSH BRANCH RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-5736
Practice Address - Country:US
Practice Address - Phone:859-948-9020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3298235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist