Provider Demographics
NPI:1194138784
Name:GROEBER, ASHLEY (AUD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:GROEBER
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 1:499 COLLIERS WAY
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-5011
Mailing Address - Country:US
Mailing Address - Phone:304-723-1592
Mailing Address - Fax:304-723-3857
Practice Address - Street 1:499 COLLIERS WAY
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-5011
Practice Address - Country:US
Practice Address - Phone:304-723-1592
Practice Address - Fax:304-723-3857
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVA-0312231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist