Healthcare Provider Details

I. General information

NPI: 1285596916
Provider Name (Legal Business Name): ASHLEY J. VINSON M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY J. WILLIAMS M.A., CCC-SLP

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 AARON BRENNER DR STE 450
MEMPHIS TN
38120-1443
US

IV. Provider business mailing address

PO BOX 341471
BARTLETT TN
38184-1471
US

V. Phone/Fax

Practice location:
  • Phone: 901-461-6022
  • Fax:
Mailing address:
  • Phone: 901-461-6022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5267
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: