Provider Demographics
NPI:1720809064
Name:PUGH, ASHLEY
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:PUGH
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 1:127 WINTERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:24701-5389
Mailing Address - Country:US
Mailing Address - Phone:304-888-3326
Mailing Address - Fax:304-888-3326
Practice Address - Street 1:127 WINTERGREEN ST
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:WV
Practice Address - Zip Code:24701-5389
Practice Address - Country:US
Practice Address - Phone:304-888-3326
Practice Address - Fax:304-888-3326
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency