Healthcare Provider Details

I. General information

NPI: 1730726928
Provider Name (Legal Business Name): MS. ASHLEY DREW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2019
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 FRONT ST
BATH ME
04530-2672
US

IV. Provider business mailing address

401 GOODWINS MILLS RD
LYMAN ME
04002-7521
US

V. Phone/Fax

Practice location:
  • Phone: 207-386-5920
  • Fax:
Mailing address:
  • Phone: 603-236-2695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSAS2575
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: