Individual ProviderAshley A ParkerSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address14286 Beach Blvd, Suite 34, Jacksonville, FL 32250-1561(904) 345-7512PECOS EnrollmentBased on the most recent information from CMS, provider Ashley A Parker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1053655050Provider TypeIndividualFull NameParker, Ashley AGenderFemaleSole ProprietorNoEnumeration Date11/15/2012Last Updated7/27/2015Contact InformationPractice LocationPractice Address14286 Beach Blvd, Suite 34, Jacksonville, FL 32250-1561Phone(904) 345-7512Fax(904) 345-7540Mailing LocationMailing Address14286 Beach Blvd, Suite 34, Jacksonville, FL 32250-1561Phone(904) 345-7512Fax(904) 345-7540Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA 13154FloridaCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense2012038834Missouri