MEDICARE: ASHLEY VILLARREAL FLEEMAN 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	:	1972030294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY VILLARREAL FLEEMAN SLP

Provider Business Mailing Address
First Line	:	4131 JFK BLVD STE C
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-8264
Country	:	US
Telephone Number	:	501-502-5420
Fax Number	:	501-557-3657

Provider Business Practice Location Address
First Line	:	4131 JFK BLVD STE C
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-8264
Country	:	US
Telephone Number	:	501-502-5420
Fax Number	:	501-557-3657

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

Provider Enumeration Date	:	05/17/2017
Last Update Date	:	05/18/2026

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Directions to “ ASHLEY VILLARREAL FLEEMAN SLP” Practice Location

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