MRS. Tara Mabel Brannon Bogs, PH.D.
NPI #1043385081 in Warwick, Rhode Island
Provider Information
- NPI Number
- 1043385081
- Entity Type
- Individual
- Name
- MRS. Tara Mabel Brannon Bogs, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Nov 22, 2006
- Last Updated
- Jul 18, 2019
Practice Location
- Address
- 400 BALD HILL RD
- Address 2
- SUITE 517
- City
- Warwick
- State
- Rhode Island
- ZIP Code
- 02886-1617
- Phone
- (401) 732-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Counselor - Mental Health — Mental Health |
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