Provider Demographics
NPI:1548627656
Name:WESTFALL, ASHLI (MA, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ASHLI
Middle Name:
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2358 STATE ROUTE 3307
Mailing Address - Street 2:
Mailing Address - City:GREENUP
Mailing Address - State:KY
Mailing Address - Zip Code:41144-8824
Mailing Address - Country:US
Mailing Address - Phone:606-836-0931
Mailing Address - Fax:
Practice Address - Street 1:100 WURTLAND AVE
Practice Address - Street 2:
Practice Address - City:WURTLAND
Practice Address - State:KY
Practice Address - Zip Code:41144-1445
Practice Address - Country:US
Practice Address - Phone:606-836-0931
Practice Address - Fax:606-833-5605
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2918235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist