Individual
ASHLEY BAGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1210 WILHELMINA RISE, # B, HONOLULU, HI 96816-3287
(888) 808-2113
Mailing address
1210 WILHELMINA RISE, # B, HONOLULU, HI 96816-3287
(888) 808-2113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1330
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14039609
CCC-SLP
—
Enumeration date
07/01/2014
Last updated
07/01/2014
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