Individual
ASHLEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10686 CRESTWOOD DR, SUITE B, MANASSAS, VA 20109-4407
(703) 392-6166
(703) 392-3885
Mailing address
10686 CRESTWOOD DR, SUITE B, MANASSAS, VA 20109-4407
(703) 392-6166
(703) 392-3885
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA10608
FL
235Z00000X
Speech-Language Pathologist
Primary
2202005860
VA
235Z00000X
Speech-Language Pathologist
SA10608
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002932800
—
FL
05
—
004415500
—
FL
Enumeration date
09/01/2010
Last updated
07/21/2014
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