Provider Demographics
NPI:1699534750
Name:STEDIFOR, ASHLIN
Entity type:Individual
Prefix:
First Name:ASHLIN
Middle Name:
Last Name:STEDIFOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20966 ALEXANDER LN
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-3318
Mailing Address - Country:US
Mailing Address - Phone:281-467-9726
Mailing Address - Fax:
Practice Address - Street 1:22500 EAGLE DR
Practice Address - Street 2:
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357-3422
Practice Address - Country:US
Practice Address - Phone:281-577-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant