Basic Information
Provider Information
NPI: 1831736982
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHRENS
FirstName: ASHLEY
MiddleName:  
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Credential:  
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Mailing Information
Address1: 145 STEFFEE BLVD
Address2:  
City: SENECA
State: PA
PostalCode: 163463039
CountryCode: US
TelephoneNumber: 8146771390
FaxNumber:  
Practice Location
Address1: 2424 DOUBLE CHURCHES RD
Address2:  
City: COLUMBUS
State: GA
PostalCode: 319092741
CountryCode: US
TelephoneNumber: 7063246112
FaxNumber: 7065968259
Other Information
ProviderEnumerationDate: 12/09/2019
LastUpdateDate: 02/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 02/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000XSLP011925GAN Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 
235Z00000XSL014961PAY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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