National Provider Identifier
Ashley M Fuller, SPEECH PATHOLIGIST
Ashley M Fuller, SPEECH PATHOLIGIST is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Waverly, NY and a listed phone number of (607) 948-4047.
Profile Overview
- NPI
- 1184907990
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 28, 2011
- Last Updated
- September 28, 2011
Practice Location
- 456 Broad St
- Waverly, NY 14892-1445
Phone: (607) 948-4047
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1184907990
- Entity Type
- Individual
- Last Name
- Fuller
- First Name
- Ashley
- Middle Name
- M
- Credential
- SPEECH PATHOLIGIST
- Mailing Street Address
- 456 Broad St
- Mailing City
- Waverly
- Mailing State
- NY
- Mailing ZIP Code
- 14892-1445
- Mailing Country
- US
- Mailing Phone
- (607) 948-4047
- Mailing Fax
- (607) 565-2200
- Practice Street Address
- 456 Broad St
- Practice City
- Waverly
- Practice State
- NY
- Practice ZIP Code
- 14892-1445
- Practice Country
- US
- Practice Phone
- (607) 948-4047
- Practice Fax
- (607) 565-2200
- Enumeration Date
- September 28, 2011
- Last Updated
- September 28, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)