Provider Demographics
NPI:1740427913
Name:HURD, ASHLEY M (SLP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:M
Last Name:HURD
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:M
Other - Last Name:DOWNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:3515 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-3633
Mailing Address - Country:US
Mailing Address - Phone:620-786-6111
Mailing Address - Fax:620-792-3767
Practice Address - Street 1:3515 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-3633
Practice Address - Country:US
Practice Address - Phone:620-786-6115
Practice Address - Fax:620-792-3767
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2568235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS48-0845080Medicaid