Healthcare Provider Details

I. General information

NPI: 1902733041
Provider Name (Legal Business Name): ASHLEY NICOLE SLUSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SUN TEMPLE DR
MADISON AL
35758-5921
US

IV. Provider business mailing address

615 CLINTON AVE W
HUNTSVILLE AL
35801-5532
US

V. Phone/Fax

Practice location:
  • Phone: 205-913-5660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5851
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: