Individual
DR. SONYA YEATORMA BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMFT, DHA, LCSW
Contact information
Practice address
5070 PARKSIDE AVE STE 3500A, PHILADELPHIA, PA 19131-4749
(240) 818-9797
Mailing address
201 N 8TH ST UNIT 915, PHILADELPHIA, PA 19106-1018
(240) 818-9797
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
104100000X
Social Worker
Primary
29299
MD
1041C0700X
Clinical Social Worker
Q1-0012678
DE
Other
Enumeration date
09/26/2018
Last updated
05/07/2025
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