Provider Demographics
NPI:1669739215
Name:RITTER, ASHLEY BLAIR (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:BLAIR
Last Name:RITTER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 TAHLEQUAH PL
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-7721
Mailing Address - Country:US
Mailing Address - Phone:405-664-0832
Mailing Address - Fax:
Practice Address - Street 1:4416 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-5261
Practice Address - Country:US
Practice Address - Phone:405-664-0832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3866235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist