Provider Demographics
NPI:1861731226
Name:REIBEL, ASHLEY CATHERINE (MED SLP)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:CATHERINE
Last Name:REIBEL
Suffix:
Gender:F
Credentials:MED SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2133 CRAIGS STORE RD
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:VA
Mailing Address - Zip Code:22920-2019
Mailing Address - Country:US
Mailing Address - Phone:434-420-6715
Mailing Address - Fax:
Practice Address - Street 1:83 CROSS ROAD LN
Practice Address - Street 2:AUGUSTA NURSING AND REHAB CENTER
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939
Practice Address - Country:US
Practice Address - Phone:540-885-8420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006660235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2202006660OtherVIRGINIA LICENSE NUMBER