ASHLEY LYNN THEADORE (NPI# 1023635786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023635786 |
| Entity Type | Individual |
| Full Name | ASHLEY LYNN THEADORE |
| Practice Address |
5 Triangle Rd Liberty NY 12754-3368 |
| Mailing Address |
Po Box 56 Callicoon Center NY 12724-0056 |
| Practice Telephone | 5182658619 |
| Mailing Telephone | 5182658619 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | NY | Speech, Language and Hearing Service Providers |
| Street Address |
5 TRIANGLE RD |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644511 | Fiona Streimer | Specialist | 5 Triangle Rd, Liberty, NY 12754-3368 | 2019-05-16 |
| 1104443217 | Chelsie Marie Stauch | Occupational Therapist | 5 Triangle Rd, Liberty, NY 12754-3368 | 2020-07-06 |
| 1073162509 | Sandhya Jakka | Physical Therapist | 5 Triangle Rd, Liberty, NY 12754-3368 | 2019-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914745 | Savannah Autem | Speech-Language Pathologist | 1908 Plumbers Way Ste 400, Liberty, MO 64068-7453 | 2019-10-22 |
| 1053977447 | Barbara Blakey | Speech-Language Pathologist | 28 Winslow Pl, Liberty, NY 12754-1537 | 2019-05-12 |
| 1740758713 | Mallory Garth | Speech-Language Pathologist | 1908 Plumbers Way, Liberty, MO 64068-7456 | 2018-11-08 |
| 1821573056 | Kori Mudge | Speech-Language Pathologist | 940 Chastain Rd, Liberty, SC 29657-9021 | 2018-10-03 |
| 1851815757 | Gelsomino and Davis Speech and Occupational Therapy | Speech-Language Pathologist | 6113 State Route 55, Liberty, NY 12754-7626 | 2017-08-01 |
| 1912384876 | Hand Speech Therapy | Speech-Language Pathologist | 564 Ridge Ave, Liberty, NC 27298-3604 | 2015-04-29 |
| 1548647563 | Emily Kaye Smith | Speech-Language Pathologist | 8 Victory Ln, Liberty, MO 64068-1920 | 2015-04-28 |
| 1003248071 | Joyce Chester | Speech-Language Pathologist | 1830 Surrey St, Liberty, MO 64068-2597 | 2013-08-01 |
| 1720330186 | Erica Rhonemus | Speech-Language Pathologist | 210 Willow Street, Liberty, IN 47353 | 2012-10-10 |
| 1891051595 | Karen Danielle Weiman | Speech-Language Pathologist | 1351 N 750th Ave, Liberty, IL 62347-4901 | 2012-04-06 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.