Individual
HEIDI BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-S
Contact information
Practice address
21 PRIVATE DRIVE 155, PROCTORVILLE, OH 45669-7877
(304) 633-1833
(304) 633-1833
Mailing address
21 PRIVATE DRIVE 155, PROCTORVILLE, OH 45669-7877
(304) 633-1833
(304) 633-1833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 5894
OH
Other
Enumeration date
03/23/2011
Last updated
09/04/2015
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