Healthcare Provider Details

I. General information

NPI: 1992522817
Provider Name (Legal Business Name): ERICA LYNNE ASBURY B.A., M.S., M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 283
ROMNEY WV
26757-0283
US

IV. Provider business mailing address

PO BOX 283
ROMNEY WV
26757-0283
US

V. Phone/Fax

Practice location:
  • Phone: 304-813-1455
  • Fax:
Mailing address:
  • Phone: 304-813-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number2370-2586
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: