Individual
BREANNAH LEANN BOGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 220, BRIDGEPORT, WV 26330-0220
(304) 933-3073
Mailing address
350 FALLEN TIMBERS RD, POINT MARION, PA 15474-1368
(724) 912-8400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2760
WV
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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