Active NPIIndividual provider

Ashley C Gannon, MS, CCC-SLP

Speech-Language Pathologist, in Brookline, Massachusetts

NPI Number1669026829
Practice location
68 Harvard St, Brookline, MA 02445-7991
Fax
—
Last updated
July 26, 2019

Ashley Christa Gannon is a Speech-Language Pathologist, based in Brookline, MA. Ashley Christa Gannon practices in Brookline, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Ashley Christa Gannon is 1669026829 and holds a License No. 77364-SP-SL (MA). The current practice location address for Ashley Christa Gannon is 68 Harvard St, Brookline, MA 02445-7991 and can be reached out via phone at 888-828-4114.

Provider Profile Details

NPI Number
1669026829
Provider Name
Ashley Christa Gannon
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
68 Harvard St, Brookline, MA 02445-7991
Phone Number
888-828-4114
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
July 26, 2019
Last Update Date
July 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
68 Harvard St
Brookline, MA 02445-7991
Zip
02445-7991
Phone Number
888-828-4114
Brookline, MA 02445Get directions →

Provider Business Mailing Address Details

Address
46 Englewood Ave Apt 17
Brighton, MA 02135-7860
City
Brighton
State
MA
Zip
02135-7860
Phone Number
603-960-0580

License Information

License Number
77364-SP-SL
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ashley C Gannon, MS, CCC-SLP?

The NPI number of Ashley C Gannon, MS, CCC-SLP is 1669026829. It was assigned on July 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Ashley C Gannon, MS, CCC-SLP?

Ashley C Gannon, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 77364-SP-SL.

Where does Ashley C Gannon, MS, CCC-SLP practice?

The practice location is 68 Harvard St, Brookline, MA 02445-7991. The office can be reached at 888-828-4114 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669026829 directly on the NPPES registry website.

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