Individual
ASHLEY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS CCC-SLP
Contact information
Practice address
1516 HARTFORD LN, WOODRIDGE, IL 60517-4640
(610) 764-9097
Mailing address
1516 HARTFORD LN, WOODRIDGE, IL 60517-4640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.0013020
IL
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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