Individual
ASHLY VALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
4902 MAIN ST, SHALLOTTE, NC 28470-4502
(910) 625-5443
Mailing address
2985 BOVERIE ST, SHALLOTTE, NC 28470-6007
(910) 625-5443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202006493
VA
235Z00000X
Speech-Language Pathologist
Primary
6752
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412865
—
NC
Enumeration date
12/15/2006
Last updated
02/13/2014
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