Healthcare Provider Details

I. General information

NPI: 1114882701
Provider Name (Legal Business Name): ASHLEY MEURET
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 N BERLYN AVE
ONTARIO CA
91764-1907
US

IV. Provider business mailing address

950 W D ST
ONTARIO CA
91762-3026
US

V. Phone/Fax

Practice location:
  • Phone: 909-986-8995
  • Fax:
Mailing address:
  • Phone: 909-459-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number33062
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: