Provider Demographics
NPI:1114165925
Name:HARPER, ASHLEY PITZENBRUGER (SLP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PITZENBRUGER
Last Name:HARPER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 WALNUT STREET
Mailing Address - Street 2:PENDLETON COUNTY BOARD OF EDUCATION
Mailing Address - City:FRANKLIN
Mailing Address - State:WV
Mailing Address - Zip Code:25414
Mailing Address - Country:US
Mailing Address - Phone:304-358-2207
Mailing Address - Fax:
Practice Address - Street 1:108 WALNUT STREET
Practice Address - Street 2:PENDLETON COUNTY BOARD OF EDUCATION
Practice Address - City:FRANKLIN
Practice Address - State:WV
Practice Address - Zip Code:25414
Practice Address - Country:US
Practice Address - Phone:304-358-2207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV6899235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist