Provider Demographics
NPI:1316340276
Name:MARSHALL, ASHLEY MORGAN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MORGAN
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:BOSTJANCIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:1345 POTOMAC AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4411
Mailing Address - Country:US
Mailing Address - Phone:717-395-1946
Mailing Address - Fax:
Practice Address - Street 1:1345 POTOMAC AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4411
Practice Address - Country:US
Practice Address - Phone:717-395-1946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP000806235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist