Provider Demographics
NPI:1841826096
Name:ALLEN, ASHTON (SLP,CCC)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:SLP,CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4728 JORDAN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:NC
Mailing Address - Zip Code:27370-8858
Mailing Address - Country:US
Mailing Address - Phone:336-906-2023
Mailing Address - Fax:
Practice Address - Street 1:4728 JORDAN VALLEY RD
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:NC
Practice Address - Zip Code:27370-8858
Practice Address - Country:US
Practice Address - Phone:336-906-2023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13592235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist