Provider Demographics
NPI:1184897571
Name:BRASHEARS, REBECCA ANN (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:BRASHEARS
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:FREELAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:906 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-2306
Mailing Address - Country:US
Mailing Address - Phone:304-948-5565
Mailing Address - Fax:304-948-5961
Practice Address - Street 1:906 6TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701
Practice Address - Country:US
Practice Address - Phone:304-948-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV237600000X
SC3902231H00000X
WVA-0324231H00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVQ52082G695OtherMEDICARE