Provider Demographics
NPI:1780111690
Name:MOORE-HADLEY, ASHLEIGH RICHELLE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:RICHELLE
Last Name:MOORE-HADLEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:RICHELLE
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:116 OAK ST
Mailing Address - Street 2:
Mailing Address - City:ROLLINSFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03869
Mailing Address - Country:US
Mailing Address - Phone:858-245-8292
Mailing Address - Fax:
Practice Address - Street 1:61 LOCUST ST
Practice Address - Street 2:SUITE #333
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820
Practice Address - Country:US
Practice Address - Phone:603-740-3534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76513235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist