Individual
MS. ASHLEY IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 WEST GOVERNMENT STREET, SUITE 104, BRANDON, MS 39042
(601) 591-7535
(601) 591-7540
Mailing address
921 WEST BEACON STREET, PHILADELPHIA, MS 39350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3609
MS
Other
Enumeration date
08/10/2011
Last updated
04/14/2020
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