Provider Demographics
NPI:1700665106
Name:HULEN, ASHLEY BRYANA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:BRYANA
Last Name:HULEN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:BRYANA
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:PO BOX 10016
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92375-3216
Mailing Address - Country:US
Mailing Address - Phone:909-314-5236
Mailing Address - Fax:909-883-5473
Practice Address - Street 1:1323 W COLTON AVE STE 105
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-2853
Practice Address - Country:US
Practice Address - Phone:909-978-7997
Practice Address - Fax:909-361-4726
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23252235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist