Provider Demographics
NPI:1104701705
Name:ASHCRAFT, LISA A (SLPA)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:A
Last Name:ASHCRAFT
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 THROCKMORTON ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-3329
Mailing Address - Country:US
Mailing Address - Phone:682-229-8500
Mailing Address - Fax:
Practice Address - Street 1:117 THROCKMORTON ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-3329
Practice Address - Country:US
Practice Address - Phone:682-229-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX436672355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant