MEDICARE: MRS. ASHLYN SMITH M.A., 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
1	235Z00000X	Speech-Language Pathologist	7185	TN

General Provider Information

NPI Number	:	1447914486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLYN SMITH M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	3343 MEMORIAL BLVD APT G104
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-5432
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 COUNTY FARM RD
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37127-6328
Country	:	US
Telephone Number	:	615-893-2624
Fax Number	:

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

Provider Enumeration Date	:	10/26/2021
Last Update Date	:	10/26/2021

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Directions to “ MRS. ASHLYN SMITH M.A., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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