MEDICARE: ASHLEY MARIE HOUGHTON

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	07541	MD

General Provider Information

NPI Number	:	1972162204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MARIE HOUGHTON

Provider Business Mailing Address
First Line	:	1019 W 43RD ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21211-1648
Country	:	US
Telephone Number	:	443-765-4449
Fax Number	:

Provider Business Practice Location Address
First Line	:	4520 YORK RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21212-4830
Country	:	US
Telephone Number	:	410-396-6358
Fax Number	:

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

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	06/11/2019

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Directions to “ ASHLEY MARIE HOUGHTON ” Practice Location

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