Individual
DR. JEFFREY T BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1115 20TH STREET, SUITE 205, HUNTINGTON, WV 25703
(304) 691-1500
(304) 691-1510
Mailing address
1115 20TH STREET, SUITE 205, HUNTINGTON, WV 25703
(304) 691-1500
(304) 691-1510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
544
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163845000
—
WV
01
—
544
LICENSE OF PSYCHOLOGY
WV
Enumeration date
07/07/2006
Last updated
07/18/2013
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