Provider Demographics
NPI:1831820752
Name:BUCHALTER, ASHLEY NALANI
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NALANI
Last Name:BUCHALTER
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 1:4810 CORONA AUSTRALIS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-4856
Mailing Address - Country:US
Mailing Address - Phone:323-715-8453
Mailing Address - Fax:
Practice Address - Street 1:814 ARION PKWY STE 413
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2837
Practice Address - Country:US
Practice Address - Phone:210-338-7430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119740235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist