Provider Demographics
NPI:1679452759
Name:GARBER, ASHLEY (MS SLP-CFY)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:GARBER
Suffix:
Gender:X
Credentials:MS SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24000 66TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PORT BYRON
Mailing Address - State:IL
Mailing Address - Zip Code:61275-9617
Mailing Address - Country:US
Mailing Address - Phone:309-798-6470
Mailing Address - Fax:
Practice Address - Street 1:3100 7TH ST
Practice Address - Street 2:
Practice Address - City:EAST MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61244-3262
Practice Address - Country:US
Practice Address - Phone:309-755-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.008561235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist