Individual
ASHLEY BOUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
120 S BROAD ST, GROVE CITY, PA 16127-1544
(724) 458-1500
Mailing address
188 CREEK RD, JACKSON CENTER, PA 16133-2802
(724) 967-4932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLO14201
PA
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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