Provider Demographics
NPI:1144708892
Name:PICCONE, ASHLEY (AUD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PICCONE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 YELLOW PINE PL
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8904
Mailing Address - Country:US
Mailing Address - Phone:720-355-3956
Mailing Address - Fax:
Practice Address - Street 1:3805 YELLOW PINE PL
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-8904
Practice Address - Country:US
Practice Address - Phone:720-333-3956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-04
Last Update Date:2018-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000459231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist