Individual
MRS. ASHLEY S FAIRLEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1713 RICHCREEK RD, AUSTIN, TX 78757-1845
(512) 983-4620
Mailing address
1713 RICHCREEK RD, AUSTIN, TX 78757-1845
(512) 983-4620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102611
TX
237700000X
Hearing Instrument Specialist
80464
TX
Other
Enumeration date
04/11/2007
Last updated
01/19/2017
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