Individual
ASHLEY NICOLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14199 110TH TER, LARGO, FL 33774-4442
(727) 644-4707
Mailing address
14199 110TH TER, LARGO, FL 33774-4442
(727) 644-4707
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
SI1885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006235500
—
FL
Enumeration date
07/25/2011
Last updated
01/06/2016
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