Provider Demographics
NPI:1831571033
Name:ASHLEY, ANDREA (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:CASHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1184 CARDVILLE RD
Mailing Address - Street 2:
Mailing Address - City:GREENBUSH
Mailing Address - State:ME
Mailing Address - Zip Code:04418-3338
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:129 MILITARY RD
Practice Address - Street 2:
Practice Address - City:GREENBUSH
Practice Address - State:ME
Practice Address - Zip Code:04418-3137
Practice Address - Country:US
Practice Address - Phone:207-826-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-24
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME609327235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist