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NPI Code Detail

MEDICARE: ASHLIE DAHARSH M.S. CCC-SLP

MEDICARE: ASHLIE DAHARSH M.S. CCC-SLP
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 PathologistSA17346FL
2235Z00000XSpeech-Language PathologistSZ8841FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417420993
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLIE DAHARSH M.S. CCC-SLP
Provider Business Mailing Address
First Line : 10944 104TH AVE
Second Line :
City : SEMINOLE
State : FL
Zip : 33778-4040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1240 MARBELLA PLAZA DR
Second Line :
City : TAMPA
State : FL
Zip : 33619-7906
Country : US
Telephone Number : 813-341-2726
Fax Number : 813-341-2755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2019
Last Update Date : 09/30/2019

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