Provider Demographics
NPI:1942089685
Name:LOPEZ, ASHLEY AILEEN (MS MS CC-SLP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:AILEEN
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MS MS CC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6627 AUBURN TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-1679
Mailing Address - Country:US
Mailing Address - Phone:856-397-9283
Mailing Address - Fax:
Practice Address - Street 1:138 ELDRIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4083
Practice Address - Country:US
Practice Address - Phone:281-201-5419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist