Provider Demographics
NPI:1164686168
Name:PEUGH, GINGER LEA (AUD)
Entity Type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:LEA
Last Name:PEUGH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 N MIDLAND DR STE 4
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-5593
Mailing Address - Country:US
Mailing Address - Phone:432-689-4327
Mailing Address - Fax:432-689-4329
Practice Address - Street 1:2101 N MIDLAND DR STE 4
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-5593
Practice Address - Country:US
Practice Address - Phone:432-689-4327
Practice Address - Fax:432-689-4329
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80113237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter