Provider Demographics
NPI:1578378493
Name:HAIGLER, ASHLEY NIKITA (SLP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NIKITA
Last Name:HAIGLER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3143 CEDAR CREST WAY
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-1448
Mailing Address - Country:US
Mailing Address - Phone:803-682-5881
Mailing Address - Fax:
Practice Address - Street 1:3143 CEDAR CREST WAY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-1448
Practice Address - Country:US
Practice Address - Phone:803-682-5881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-05-15
Deactivation Date:2025-02-12
Deactivation Code:
Reactivation Date:2025-05-15
Provider Licenses
StateLicense IDTaxonomies
GASLP013277235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist