Provider Demographics
NPI:1194076596
Name:WESTMORELAND, ASHLEE NICOLE (SLP)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:NICOLE
Last Name:WESTMORELAND
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3782 COUNTY ROAD 41
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:MS
Mailing Address - Zip Code:38917-5681
Mailing Address - Country:US
Mailing Address - Phone:662-229-6924
Mailing Address - Fax:
Practice Address - Street 1:3782 COUNTY ROAD 41
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:MS
Practice Address - Zip Code:38917-5681
Practice Address - Country:US
Practice Address - Phone:662-229-6924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS3545235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist