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NPI Code Detail

MEDICARE: ASHLYN ELLIS

MEDICARE: ASHLYN ELLIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist220101525CA

General Provider Information

NPI Number : 1093647752
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLYN ELLIS
Provider Business Mailing Address
First Line : 842 KENYON AVE
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94577-6212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4400 ALMA AVE
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-3104
Country : US
Telephone Number : 510-537-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ ASHLYN ELLIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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