Provider Demographics
NPI:1285753764
Name:ASHCRAFT, JAMIE L (MA CCC-A)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:L
Last Name:ASHCRAFT
Suffix:
Gender:F
Credentials:MA CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 E ALEX BELL RD
Mailing Address - Street 2:SUITE 166
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-2753
Mailing Address - Country:US
Mailing Address - Phone:937-436-2358
Mailing Address - Fax:937-436-2331
Practice Address - Street 1:101 E ALEX BELL RD
Practice Address - Street 2:SUITE 166
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-2753
Practice Address - Country:US
Practice Address - Phone:937-436-2358
Practice Address - Fax:937-436-2331
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA 01296231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist