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NPI Code Detail

MEDICARE: MS. ASHLEY ROSE HABER M.S. CCC-SLP

MEDICARE:  MS. ASHLEY ROSE HABER  M.S. 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 PathologistSA13074FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SA13074OTHERFLFL DOH
214107700OTHERFLASHA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952772428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHLEY ROSE HABER M.S. CCC-SLP
Provider Business Mailing Address
First Line : 3962 LAKE WARREN DR
Second Line :
City : ORLANDO
State : FL
Zip : 32812-3849
Country : US
Telephone Number : 407-443-8820
Fax Number :
Provider Business Practice Location Address
First Line : 3962 LAKE WARREN DR
Second Line :
City : ORLANDO
State : FL
Zip : 32812-3849
Country : US
Telephone Number : 407-443-8820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2015
Last Update Date : 10/09/2015

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Directions to “ MS. ASHLEY ROSE HABER M.S. CCC-SLP” Practice Location

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