Healthcare Provider Details

I. General information

NPI: 1427471473
Provider Name (Legal Business Name): ASHLEY WEITZMAN M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2014
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 IROQUOIS TRL
SLINGERLANDS NY
12159-9438
US

IV. Provider business mailing address

67 IROQUOIS TRL
SLINGERLANDS NY
12159-9438
US

V. Phone/Fax

Practice location:
  • Phone: 908-692-8814
  • Fax:
Mailing address:
  • Phone: 908-692-8814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number026496
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: