MEDICARE: EPPIE EHLERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2204000440	VA

General Provider Information

NPI Number	:	1083221899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EPPIE EHLERS

Provider Business Mailing Address
First Line	:	8621 N VALLEY PIKE
Second Line	:
City	:	ROCKINGHAM
State	:	VA
Zip	:	22802-1528
Country	:	US
Telephone Number	:	540-433-7819
Fax Number	:

Provider Business Practice Location Address
First Line	:	8621 N VALLEY PIKE
Second Line	:
City	:	ROCKINGHAM
State	:	VA
Zip	:	22802-1528
Country	:	US
Telephone Number	:	540-433-7819
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2020
Last Update Date	:	09/25/2020

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Directions to “ EPPIE EHLERS ” Practice Location

Language	Start Address	Practice Location

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