Individual
ASHLY D. WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 W JASPER DR, SUITE 9, KILLEEN, TX 76542-1331
(254) 781-7397
Mailing address
300 SAN GABRIEL VILLAGE BLVD, 424, GEORGETOWN, TX 78626-6689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
Enumeration date
06/18/2010
Last updated
01/02/2013
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