Provider Demographics
NPI:1114650496
Name:OGENT, ANNA MARIA (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:OGENT
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7325 MARINE RD
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-4576
Mailing Address - Country:US
Mailing Address - Phone:618-731-7778
Mailing Address - Fax:618-731-7758
Practice Address - Street 1:7325 MARINE RD
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025-4576
Practice Address - Country:US
Practice Address - Phone:618-731-7778
Practice Address - Fax:618-731-7758
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.006742235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist