Provider Demographics
NPI:1164043659
Name:VERBA, ASHLEY (AUDIOLOGIST)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:VERBA
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:KUMINKOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUDIOLOGIST
Mailing Address - Street 1:435 S. BURNETT RD.
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45505
Mailing Address - Country:US
Mailing Address - Phone:937-325-8796
Mailing Address - Fax:937-325-6698
Practice Address - Street 1:435 S. BURNETT RD.
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505
Practice Address - Country:US
Practice Address - Phone:937-325-8796
Practice Address - Fax:937-325-6698
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ200642800207YX0901X
OHA.02412231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology