Healthcare Provider Details

I. General information

NPI: 1043620495
Provider Name (Legal Business Name): ASHLEY ELIZABETH ZIFER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY ELIZABETH VANDLIK AU.D.

II. Dates (important events)

Enumeration Date: 05/06/2014
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3996 FULTON DR NW STE A
CANTON OH
44718-3051
US

IV. Provider business mailing address

3996 FULTON DR NW STE A
CANTON OH
44718-3051
US

V. Phone/Fax

Practice location:
  • Phone: 330-491-1421
  • Fax: 330-491-1424
Mailing address:
  • Phone: 330-491-1421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA.01891
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: