Provider Demographics
NPI:1124665138
Name:ASHBURY CLAN, LLP
Entity type:Organization
Organization Name:ASHBURY CLAN, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF THERAPY OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERDONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-827-3670
Mailing Address - Street 1:651 N BUSINESS IH 35 STE 1310
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7877
Mailing Address - Country:US
Mailing Address - Phone:830-507-1285
Mailing Address - Fax:
Practice Address - Street 1:651 N BUSINESS IH 35 STE 1310
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7877
Practice Address - Country:US
Practice Address - Phone:830-507-1285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty