Provider Demographics
NPI:1801456090
Name:CARROLL, ASHLEY M (MT-BC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:CARROLL
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:253A PEACOCK DR
Mailing Address - Street 2:
Mailing Address - City:P C BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-7003
Mailing Address - Country:US
Mailing Address - Phone:513-532-6438
Mailing Address - Fax:
Practice Address - Street 1:253A PEACOCK DR
Practice Address - Street 2:
Practice Address - City:P C BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-7003
Practice Address - Country:US
Practice Address - Phone:513-532-6438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist