Provider Demographics
NPI:1487663936
Name:EPLING-BOGGESS, L. ASHLEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:L.
Middle Name:ASHLEY
Last Name:EPLING-BOGGESS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 349
Mailing Address - Street 2:
Mailing Address - City:ALDERSON
Mailing Address - State:WV
Mailing Address - Zip Code:24910-0349
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 NORTHSIDE DR
Practice Address - Street 2:SUITE 27
Practice Address - City:SUMMERSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26651-2017
Practice Address - Country:US
Practice Address - Phone:304-872-3485
Practice Address - Fax:304-872-4354
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVA0237237600000X
WVA-0237231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810010135Medicaid