MEDICARE: ASHLEY DUBOIS SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1518781194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY DUBOIS SLP

Provider Business Mailing Address
First Line	:	7376 GLEN EAGLE DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-9316
Country	:	US
Telephone Number	:	989-992-1367
Fax Number	:	989-625-3849

Provider Business Practice Location Address
First Line	:	7376 GLEN EAGLE DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-9316
Country	:	US
Telephone Number	:	989-992-1367
Fax Number	:	989-625-3849

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	11/11/2024

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Directions to “ ASHLEY DUBOIS SLP” Practice Location

Language	Start Address	Practice Location

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