Provider Demographics
NPI:1932711702
Name:PRICE, ASHLEY (AUD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 GOLD DR
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-3308
Mailing Address - Country:US
Mailing Address - Phone:605-553-6611
Mailing Address - Fax:
Practice Address - Street 1:2910 WESTOWN PKWY STE 110
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1308
Practice Address - Country:US
Practice Address - Phone:515-499-8622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101543231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist