Individual
MRS. ASHLEY LYNN BOOTERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CF-SLP
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-5300
Mailing address
104 E CHESTNUT ST, COUDERSPORT, PA 16915-1405
(540) 305-7478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSL001561
PA
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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