Provider Demographics
NPI:1578009379
Name:ASHLEY-BIGGUS, MERRILYN
Entity Type:Individual
Prefix:
First Name:MERRILYN
Middle Name:
Last Name:ASHLEY-BIGGUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12825 LITTLE ELLIOTT DR
Mailing Address - Street 2:APT 8
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2784
Mailing Address - Country:US
Mailing Address - Phone:704-607-9077
Mailing Address - Fax:
Practice Address - Street 1:12825 LITTLE ELLIOTT DR
Practice Address - Street 2:APT 8
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2784
Practice Address - Country:US
Practice Address - Phone:704-607-9077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD235Z00000X
NC235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist