Healthcare Provider Details

I. General information

NPI: 1922965656
Provider Name (Legal Business Name): ASHLYN TAYLOR DEWEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13420 N COMMUNITY RD
CIMARRON KS
67835-9009
US

IV. Provider business mailing address

13420 N COMMUNITY RD
CIMARRON KS
67835-9009
US

V. Phone/Fax

Practice location:
  • Phone: 620-640-9069
  • Fax:
Mailing address:
  • Phone: 620-640-9069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5723
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: