Individual
ASHLEY EIDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
437 GIVLER DR, MARTINSBURG, PA 16662-1635
(814) 793-3728
Mailing address
800 NOELANI DR, DUNCANSVILLE, PA 16635-1478
(814) 691-4016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013988
PA
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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