Provider Demographics
NPI:1861795148
Name:WILCOX, ASHLEY AYRES (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:AYRES
Last Name:WILCOX
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 SCHOOL ST.
Mailing Address - Street 2:
Mailing Address - City:NORPHLET
Mailing Address - State:AR
Mailing Address - Zip Code:71759-0050
Mailing Address - Country:US
Mailing Address - Phone:870-546-2781
Mailing Address - Fax:870-546-9550
Practice Address - Street 1:600 SCHOOL ST.
Practice Address - Street 2:
Practice Address - City:NORPHLET
Practice Address - State:AR
Practice Address - Zip Code:71759-0050
Practice Address - Country:US
Practice Address - Phone:870-546-2781
Practice Address - Fax:870-546-9550
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2925235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist