Healthcare Provider Details

I. General information

NPI: 1487570909
Provider Name (Legal Business Name): ASHLEY LYNN SYLVESTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 ELIZA ST
GREEN BAY WI
54301-3229
US

IV. Provider business mailing address

3936 WOODLAND RD APT 9
GREEN BAY WI
54313-1204
US

V. Phone/Fax

Practice location:
  • Phone: 920-448-2140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: