Provider Demographics
NPI:1750790093
Name:SOFFE, ASHLY
Entity type:Individual
Prefix:
First Name:ASHLY
Middle Name:
Last Name:SOFFE
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 1:40350 CORTE CAMPEON
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-3834
Mailing Address - Country:US
Mailing Address - Phone:951-285-6084
Mailing Address - Fax:
Practice Address - Street 1:40350 CORTE CAMPEON
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-3834
Practice Address - Country:US
Practice Address - Phone:951-285-6084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27982355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant