Doctor Name: | MS. AMY L BOGGS |
NPI Number: | 1013111350 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.I.S.W. |
License Number: | I 0009161 |
Business Practice Address: | 5151 Main St Sylvania, OH - 435602184 |
Business Phone Number: | 4198825000 |
Business Fax Number: | |
Mailing Address: | 649 Wright Ave, TOLEDO |
State: | OH |
Postal Code: | 436092965 |
Phone Number: | 4193822124 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I 0009161 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |