Individual
MICHELLE G ASHCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 CRESTHILL DR, FORT WAYNE, IN 46804-4314
(260) 417-8845
Mailing address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(765) 288-1928
(765) 741-0310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002842A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201318910
—
IN
Enumeration date
08/17/2015
Last updated
08/16/2021
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