Individual provider · Type 1 NPI

Ashley Kissam

Speech-Language Pathologist · Port Orange, FL

NPI number 1821365446 Active

Practice location

5535 S Williamson Blvd, Ste 774
Port Orange, FL 32128-8311

Call (800) 330-7711 Map

Fax (866) 426-2811

Mailing address

53 Harden Dr
Lagrangeville, NY 12540-6323

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: 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, resonan…

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About NPI 1821365446

Ashley Kissam's National Provider Identifier is 1821365446, issued on Nov 28, 2011. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Port Orange, FL. The record was last updated on Nov 28, 2011.