Provider Demographics
NPI:1992294888
Name:HOWELL, ASHLEY LAUDER (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LAUDER
Last Name:HOWELL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5653 NATHANIEL ST
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-2532
Mailing Address - Country:US
Mailing Address - Phone:757-376-0126
Mailing Address - Fax:
Practice Address - Street 1:4122 TERRY DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-4597
Practice Address - Country:US
Practice Address - Phone:757-638-7951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202008287235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist