Healthcare Provider Details

I. General information

NPI: 1699680090
Provider Name (Legal Business Name): ASHLEY MESSERSMITH SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 BEVERLY BLVD STE B
LOS ANGELES CA
90057-1013
US

IV. Provider business mailing address

3031 BEVERLY BLVD STE B
LOS ANGELES CA
90057-1013
US

V. Phone/Fax

Practice location:
  • Phone: 323-644-9380
  • Fax: 323-644-9381
Mailing address:
  • Phone: 323-644-9380
  • Fax: 323-644-9381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number10329
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: