Individual
MS. ALYCIA JEANNE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(866) 919-3240
Mailing address
8820 SOUTHWESTERN BLVD APT 605, DALLAS, TX 75206-2812
(484) 888-1259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111290
TX
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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