Boggs, Audrey E
Boggs, Audrey E is an sole proprietor health care provider with primary practice located at 30200 Agoura Rd Ste 190 , Agoura Hills CA 91301-5431. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Boggs, Audrey E can be contacted via phone (818) 295-2428.Contact Information
Primary practice address
30200 Agoura Rd Ste 190
Agoura Hills CA 91301-5431
Phone: (818) 295-2428
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 22027 | California |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY22027 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY22027 | California |
Profile Details
NPI number | 1932235256 |
---|---|
LBN Legal business name | Boggs, Audrey E |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 23rd, 2007 |
Last updated | Mar 25th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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