Provider Demographics
NPI:1730454166
Name:PHLEGM, ASHLEY DANIELLE (BA)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:DANIELLE
Last Name:PHLEGM
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 PIN OAK RD STE 108
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5603
Mailing Address - Country:US
Mailing Address - Phone:281-395-5599
Mailing Address - Fax:281-395-5619
Practice Address - Street 1:1260 PIN OAK RD STE 108
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5603
Practice Address - Country:US
Practice Address - Phone:281-395-5599
Practice Address - Fax:281-395-5619
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX364452355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant