=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841035722
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHTON GAYLE DAVENPORT MCD, CCC-SLP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/01/2024
-----------------------------------------------------
Last Update Date | 07/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14323 STONEBRIDGE VIEW DR
-----------------------------------------------------
City | NORTH POTOMAC
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20878-4811
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-321-4267
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5480 WISCONSIN AVE APT 810
-----------------------------------------------------
City | CHEVY CHASE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20815-3512
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-821-0905
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 202789
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 11661
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------