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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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