Individual
ASHLEY M RICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
569 HEALTH BLVD STE A, DAYTONA BEACH, FL 32114-1499
(386) 446-9935
Mailing address
4618 DAUGHARTY RD, DE LEON SPRINGS, FL 32130-3850
(931) 205-8237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18363
FL
235Z00000X
Speech-Language Pathologist
2981
TN
Other
Enumeration date
04/14/2016
Last updated
10/20/2020
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