Provider Demographics
NPI:1912665142
Name:LOPEZ, ASHLEY MARGARET (SPEECH PATHOLOGY MS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARGARET
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGY MS
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Mailing Address - Street 1:350 E 124TH ST APT 9A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2131
Mailing Address - Country:US
Mailing Address - Phone:917-756-7118
Mailing Address - Fax:
Practice Address - Street 1:660 FOX ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-3505
Practice Address - Country:US
Practice Address - Phone:718-585-1617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist