Provider Demographics
NPI:1730763467
Name:KLINGER, ASHLEY MAE
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MAE
Last Name:KLINGER
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 1:540 BROWN RD
Mailing Address - Street 2:
Mailing Address - City:CASNOVIA
Mailing Address - State:MI
Mailing Address - Zip Code:49318-9617
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1401 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:MI
Practice Address - Zip Code:49412-1486
Practice Address - Country:US
Practice Address - Phone:231-924-3069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist