Provider Demographics
NPI:1548743677
Name:ASHLEY, SAUNDRA DEANNA
Entity type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:DEANNA
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1965
Mailing Address - Street 2:
Mailing Address - City:LA FERIA
Mailing Address - State:TX
Mailing Address - Zip Code:78559-1965
Mailing Address - Country:US
Mailing Address - Phone:956-797-2100
Mailing Address - Fax:956-797-0000
Practice Address - Street 1:313 US-83 BUS.
Practice Address - Street 2:
Practice Address - City:LA FERIA
Practice Address - State:TX
Practice Address - Zip Code:78559
Practice Address - Country:US
Practice Address - Phone:956-797-2100
Practice Address - Fax:956-797-0000
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12214235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist