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ASHLEY BRETHEL SPEECH-LANGUAGE PATHOLOGY PLLC NPI 1003572520


NPI Information

NPI: 1003572520
Provider Name: ASHLEY BRETHEL SPEECH-LANGUAGE PATHOLOGY PLLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
54 ACE CT
WEST ISLIP, NY
ZIP 11795
Phone: (631) 748-6232
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ASHLEY BRETHEL SPEECH-LANGUAGE PATHOLOGY PLLC is a speech language pathologist in West Islip, NY. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. ASHLEY BRETHEL SPEECH-LANGUAGE PATHOLOGY PLLC NPI is 1003572520. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

54 ACE CT
WEST ISLIP, NY
ZIP 11795-002
Phone: (631) 748-6232

The provider's authorized official is Ashley Brethel .
The authorized official title is Owner/slp and has the following contact phone number (631) 748-6232.

The enumeration date for this NPI number is 11/9/2021 and was last updated on 11/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13848666MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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