Provider Demographics
NPI:1902464423
Name:HAGGERTY, ASHLEY E (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:E
Last Name:HAGGERTY
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 ORISKANY BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:NY
Mailing Address - Zip Code:13492-1323
Mailing Address - Country:US
Mailing Address - Phone:315-266-3300
Mailing Address - Fax:
Practice Address - Street 1:65 ORISKANY BLVD STE 1
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:NY
Practice Address - Zip Code:13492-1323
Practice Address - Country:US
Practice Address - Phone:315-266-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-30
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029898235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist