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NPI Code Detail

MEDICARE: MRS. ASHLEY NICOLE DOVER MS, CCC/SLP

MEDICARE: MRS. ASHLEY NICOLE DOVER MS, CCC/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
1235Z00000XSpeech-Language PathologistSP#1816AR
2235Z00000XSpeech-Language PathologistASHA #12018076AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15W804OTHERARBC/BS PROVIDER #

General Provider Information

NPI Number : 1801854112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY NICOLE DOVER MS, CCC/SLP
Provider Business Mailing Address
First Line : 1348 N MAXWELL DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-1518
Country : US
Telephone Number : 479-444-0547
Fax Number : 479-443-0547
Provider Business Practice Location Address
First Line : 1760 N WOODLAND AVE
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-2549
Country : US
Telephone Number : 479-443-4420
Fax Number : 479-443-0547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 07/09/2007

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Directions to “ MRS. ASHLEY NICOLE DOVER MS, CCC/SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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