Provider Demographics
NPI:1366695694
Name:MCNALLY, ASHLEY L (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:L
Last Name:MCNALLY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:L
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:18 RIVERWALK WAY
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-3335
Mailing Address - Country:US
Mailing Address - Phone:518-366-2281
Mailing Address - Fax:
Practice Address - Street 1:21 1ST ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-3812
Practice Address - Country:US
Practice Address - Phone:518-272-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017569235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist