Healthcare Provider Details

I. General information

NPI: 1831663996
Provider Name (Legal Business Name): ASHLEY GISELLE RAMOS-GUASP BA, MS,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2019
Last Update Date: 01/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5980 RADIO STATION RD
LA PLATA MD
20646-3337
US

IV. Provider business mailing address

751 THORNTON WAY APT N-441
ALEXANDRIA VA
22314-4481
US

V. Phone/Fax

Practice location:
  • Phone: 301-932-6610
  • Fax:
Mailing address:
  • Phone: 939-717-6366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: