MEDICARE: ASHLEY HARRIS

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
1	235Z00000X	Speech-Language Pathologist	9728	MN

General Provider Information

NPI Number	:	1346797594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY HARRIS

Provider Business Mailing Address
First Line	:	3332 E 25TH ST STE 2
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1413
Country	:	US
Telephone Number	:	612-900-5312
Fax Number	:	612-999-1903

Provider Business Practice Location Address
First Line	:	3332 E 25TH ST STE 2
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1413
Country	:	US
Telephone Number	:	612-900-5312
Fax Number	:	612-999-1903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2016
Last Update Date	:	02/19/2025

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Directions to “ ASHLEY HARRIS ” Practice Location

Language	Start Address	Practice Location

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