MEDICARE: ASHLEY WHITE MCD - 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

General Provider Information

NPI Number	:	1902423585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY WHITE MCD - SLP

Provider Business Mailing Address
First Line	:	1101 MCMURTRIE DR NW STE G1
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-2471
Country	:	US
Telephone Number	:	256-366-2798
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 MCMURTRIE DR NW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-2469
Country	:	US
Telephone Number	:	256-213-7477
Fax Number	:	256-517-9528

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

Provider Enumeration Date	:	06/30/2020
Last Update Date	:	11/21/2022

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Directions to “ ASHLEY WHITE MCD - SLP” Practice Location

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