Provider Demographics
NPI:1740676790
Name:HOSMAN, ASHLEY MOYNIHAN
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MOYNIHAN
Last Name:HOSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1244
Mailing Address - Country:US
Mailing Address - Phone:757-516-8130
Mailing Address - Fax:757-516-8101
Practice Address - Street 1:1401 N HIGH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1244
Practice Address - Country:US
Practice Address - Phone:757-516-8130
Practice Address - Fax:757-516-8101
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007469235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist