Provider Demographics
NPI:1932397361
Name:THOMAS, ASHLEY KARA (MSCCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KARA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 EASTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-3341
Mailing Address - Country:US
Mailing Address - Phone:405-529-4501
Mailing Address - Fax:866-435-3297
Practice Address - Street 1:305 EASTVIEW DR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-3341
Practice Address - Country:US
Practice Address - Phone:405-529-4501
Practice Address - Fax:866-435-3297
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12060606235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist