Healthcare Provider Details

I. General information

NPI: 1346632304
Provider Name (Legal Business Name): ASHLEIGH HURD CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2015
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 LAKEWOOD RD
OAKBORO NC
28129-7208
US

IV. Provider business mailing address

261 LAKEWOOD RD
OAKBORO NC
28129-7208
US

V. Phone/Fax

Practice location:
  • Phone: 704-560-5490
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30002225
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: