Provider Demographics
NPI:1992448955
Name:HANSON, ASHLEY MARIE (MS)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARIE
Last Name:HANSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26361 760TH AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND MEADOW
Mailing Address - State:MN
Mailing Address - Zip Code:55936-8630
Mailing Address - Country:US
Mailing Address - Phone:507-481-7597
Mailing Address - Fax:
Practice Address - Street 1:3525 105TH ST SW
Practice Address - Street 2:
Practice Address - City:STEWARTVILLE
Practice Address - State:MN
Practice Address - Zip Code:55976-8161
Practice Address - Country:US
Practice Address - Phone:507-252-1988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist