Provider Demographics
NPI:1962214767
Name:BUCHANAN, ASHLEY CAROL
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CAROL
Last Name:BUCHANAN
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 1:26647 MILE HILL RD
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:OH
Mailing Address - Zip Code:45771-9760
Mailing Address - Country:US
Mailing Address - Phone:740-416-8677
Mailing Address - Fax:
Practice Address - Street 1:26647 MILE HILL RD
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:OH
Practice Address - Zip Code:45771-9760
Practice Address - Country:US
Practice Address - Phone:740-416-8677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16231235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist