Individual
ASHLEY MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2485 MAPLEWOOD DRIVE, SUITE 313, MAPLEWOOD, MN 55109
(651) 770-8884
(651) 770-8151
Mailing address
2745 ALDRICH AVENUE SOUTH, UPPER UNIT, MINNEAPOLIS, MN 55408-1317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8827
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4292700
—
MN
Enumeration date
11/21/2011
Last updated
11/21/2011
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