Provider Demographics
NPI:1124695762
Name:KUFLEITNER, ASHLYNN RAE
Entity type:Individual
Prefix:
First Name:ASHLYNN
Middle Name:RAE
Last Name:KUFLEITNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5415 GRAFTON RD
Mailing Address - Street 2:
Mailing Address - City:LEETONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44431-8703
Mailing Address - Country:US
Mailing Address - Phone:330-770-3377
Mailing Address - Fax:
Practice Address - Street 1:1951 STATE ROUTE 59 STE C
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-8128
Practice Address - Country:US
Practice Address - Phone:330-846-1800
Practice Address - Fax:330-286-9808
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20211708-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist