Individual
MORIAH ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 WESTPORT RD, ELIZABETHTOWN, KY 42701-2949
(270) 763-8225
Mailing address
103 PENN CROSSING LN APT 1C, ELIZABETHTOWN, KY 42701-1775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104146109
—
KY
Enumeration date
05/18/2017
Last updated
06/16/2018
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