Healthcare Provider Details

I. General information

NPI: 1487663936
Provider Name (Legal Business Name): L. ASHLEY EPLING-BOGGESS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 02/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 NORTHSIDE DR SUITE 27
SUMMERSVILLE WV
26651-2017
US

IV. Provider business mailing address

PO BOX 349
ALDERSON WV
24910-0349
US

V. Phone/Fax

Practice location:
  • Phone: 304-872-3485
  • Fax: 304-872-4354
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA0237
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-0237
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: