Kirsten Lara Bogue, MS CCC SLP
NPI #1548405723 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1548405723
- Entity Type
- Individual
- Name
- Kirsten Lara Bogue, MS CCC SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC SLP
- Enumeration Date
- Dec 2, 2008
- Last Updated
- Oct 19, 2022
Practice Location
- Address
- 1119 HIGH STREET
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701
- Phone
- (716) 307-2557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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