Provider Demographics
NPI:1932535424
Name:ANDREWS, ASHLYN ROSE (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ASHLYN
Middle Name:ROSE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MISS
Other - First Name:ASHLYN
Other - Middle Name:ROSE
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:4935 W ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-1187
Mailing Address - Country:US
Mailing Address - Phone:812-353-3400
Mailing Address - Fax:812-353-3404
Practice Address - Street 1:4935 W ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404
Practice Address - Country:US
Practice Address - Phone:812-353-3400
Practice Address - Fax:812-353-3404
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22005310A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist