Provider Demographics
NPI:1720418494
Name:MARTIN, ASHLEY S (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:S
Last Name:MARTIN
Suffix:
Gender:
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 FORSYTHE RD
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:PA
Mailing Address - Zip Code:16059-2012
Mailing Address - Country:US
Mailing Address - Phone:412-427-1472
Mailing Address - Fax:
Practice Address - Street 1:8700 TURNPIKE DR STE 318
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7055
Practice Address - Country:US
Practice Address - Phone:561-994-6690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-17
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA235Z00000X
FLSZ6385235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist