Individual
COURTNEY BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3888 NORTH BLVD, BATON ROUGE, LA 70806-3824
(225) 344-3551
Mailing address
301 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7137
LA
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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