Individual
JENNIFER BOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
480 W. 9TH AVENUE, DODD HALL, COLUMBUS, OH 43210
(614) 293-3830
(614) 293-4870
Mailing address
200 BRADENTON AVE, DUBLIN, OH 43017-7515
(614) 793-1980
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4331
OH
103T00000X
Psychologist
4331
OH
103TR0400X
Rehabilitation Psychologist
Primary
4331
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0843323
—
OH
Enumeration date
08/08/2006
Last updated
04/15/2015
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