Healthcare Provider Details

I. General information

NPI: 1790662492
Provider Name (Legal Business Name): ASHLEY ROSE NORVIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 S WOODS MILL RD STE 37W
CHESTERFIELD MO
63017-3442
US

IV. Provider business mailing address

PO BOX 14369
SAINT LOUIS MO
63178-4369
US

V. Phone/Fax

Practice location:
  • Phone: 314-523-5300
  • Fax: 314-291-0838
Mailing address:
  • Phone: 314-336-5062
  • Fax: 314-729-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA02611
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2026038292
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: