Provider Demographics
NPI:1396151916
Name:FREDERIC, ASHLEIGH PIPES (MCD,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:PIPES
Last Name:FREDERIC
Suffix:
Gender:F
Credentials:MCD,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37168 GRIST MILL AVE
Mailing Address - Street 2:
Mailing Address - City:GEISMAR
Mailing Address - State:LA
Mailing Address - Zip Code:70734-3275
Mailing Address - Country:US
Mailing Address - Phone:225-313-4337
Mailing Address - Fax:
Practice Address - Street 1:37168 GRIST MILL AVE
Practice Address - Street 2:
Practice Address - City:GEISMAR
Practice Address - State:LA
Practice Address - Zip Code:70734-3275
Practice Address - Country:US
Practice Address - Phone:225-313-4337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5653235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist