Provider Demographics
NPI:1841035722
Name:DAVENPORT, ASHTON GAYLE (MCD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:GAYLE
Last Name:DAVENPORT
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 1:5480 WISCONSIN AVE APT 810
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3512
Mailing Address - Country:US
Mailing Address - Phone:870-821-0905
Mailing Address - Fax:
Practice Address - Street 1:14323 STONEBRIDGE VIEW DR
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-4811
Practice Address - Country:US
Practice Address - Phone:410-321-4267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR202789235Z00000X
MD11661235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty