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Individual

ASHLEY JANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
2450 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801-4734
(334) 528-1964
Mailing address
2450 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801-4734
(334) 528-1964

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202007340
VA
235Z00000X
Speech-Language Pathologist
Primary
4755
AL
235Z00000X
Speech-Language Pathologist
SL011449
PA
235Z00000X
Speech-Language Pathologist
SP-1462
HI

Other

Enumeration date
12/06/2013
Last updated
01/15/2024
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