Boggs, Teresa Lynn

Boggs, Teresa Lynn is an individual health care provider with primary practice located at 156 S Dossett Drive , Johnson City TN 37614-1702. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Boggs, Teresa Lynn can be contacted via phone (423) 439-4355.

Contact Information

Primary practice address
156 S Dossett Drive Johnson City TN 37614-1702
Phone: (423) 439-4355
Fax: (423) 439-4607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1220 Tennessee

Profile Details

NPI number 1598812158
LBN Legal business name Boggs, Teresa Lynn
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jan 16th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1598812158 NPPES
Tennessee Other SP1220 TENNESSEE LICENSE
Tennessee MEDICAID 1510971 TENNESSEE LICENSE

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