MEDICARE: ASHLEY BASS

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	2355S0801X	Speech-Language Assistant	45238	TX

General Provider Information

NPI Number	:	1861324261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY BASS

Provider Business Mailing Address
First Line	:	601 EAGLE BLVD
Second Line	:
City	:	FRITCH
State	:	TX
Zip	:	79036-8150
Country	:	US
Telephone Number	:	806-382-6240
Fax Number	:

Provider Business Practice Location Address
First Line	:	1033 W HICKORY ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-4046
Country	:	US
Telephone Number	:	806-382-6240
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ ASHLEY BASS ” Practice Location

Language	Start Address	Practice Location

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