Provider Demographics
NPI:1992233282
Name:MORALES, ASHLEIGH NICOLE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:NICOLE
Last Name:MORALES
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:NICOLE
Other - Last Name:GUZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP-INTERN
Mailing Address - Street 1:6213 ETHAN LN
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-6924
Mailing Address - Country:US
Mailing Address - Phone:806-513-9944
Mailing Address - Fax:806-353-4927
Practice Address - Street 1:2300 N WESTERN ST STE 130
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-1716
Practice Address - Country:US
Practice Address - Phone:806-318-6783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113412235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113412OtherTEXAS DEPARTMENT OF LICENSING & REGULATION