Healthcare Provider Details

I. General information

NPI: 1306502364
Provider Name (Legal Business Name): ASHLEY MALOVOZ M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 W GREENTREE DR STE 111
TEMPE AZ
85284-2715
US

IV. Provider business mailing address

3627 E INDIAN SCHOOL RD STE 102
PHOENIX AZ
85018-5159
US

V. Phone/Fax

Practice location:
  • Phone: 623-263-3968
  • Fax:
Mailing address:
  • Phone: 419-271-3235
  • Fax: 480-452-1687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP17303
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: