Healthcare Provider Details

I. General information

NPI: 1366116808
Provider Name (Legal Business Name): ASHLEY FRANCHESCA ESCALANTE MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2021
Last Update Date: 08/08/2021
Certification Date: 08/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VIALE NOVELLARA 4
RICCIONE RN
47838
IT

IV. Provider business mailing address

VIALE NOVELLARA 4
RICCIONE RN
47838
IT

V. Phone/Fax

Practice location:
  • Phone: 310-776-9312
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number28190
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: