Healthcare Provider Details

I. General information

NPI: 1982045258
Provider Name (Legal Business Name): ASHLEY FAITH KEEVER M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2013
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 TRINDALE RD
ARCHDALE NC
27263-2749
US

IV. Provider business mailing address

128 RENOLA DR
ARCHDALE NC
27263-3149
US

V. Phone/Fax

Practice location:
  • Phone: 336-431-9121
  • Fax:
Mailing address:
  • Phone: 336-880-0224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10330
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: