Provider Demographics
NPI:1861740243
Name:VANDIVER, ASHLEE HARRINGTON (AUD)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:HARRINGTON
Last Name:VANDIVER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 COBBLESTONE DR STE 10
Mailing Address - Street 2:
Mailing Address - City:TURNER
Mailing Address - State:ME
Mailing Address - Zip Code:04282-3290
Mailing Address - Country:US
Mailing Address - Phone:207-224-0222
Mailing Address - Fax:207-224-0040
Practice Address - Street 1:7 COBBLESTONE DR STE 10
Practice Address - Street 2:
Practice Address - City:TURNER
Practice Address - State:ME
Practice Address - Zip Code:04282-3290
Practice Address - Country:US
Practice Address - Phone:207-224-0222
Practice Address - Fax:207-224-0040
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2021-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAP2198231HA2400X, 231H00000X
231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter