Provider Demographics
NPI:1043038623
Name:MALI, ASHWINI (AUD)
Entity type:Individual
Prefix:
First Name:ASHWINI
Middle Name:
Last Name:MALI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 S RAINBOW BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6235
Mailing Address - Country:US
Mailing Address - Phone:702-983-2140
Mailing Address - Fax:702-233-8837
Practice Address - Street 1:3120 S RAINBOW BLVD STE 202
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6235
Practice Address - Country:US
Practice Address - Phone:702-983-2140
Practice Address - Fax:702-233-8837
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-4040231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist