Provider Demographics
NPI:1225081219
Name:KOGLER, BARBARA (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:KOGLER
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 N SPOKANE ST
Mailing Address - Street 2:STE 100
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-9513
Mailing Address - Country:US
Mailing Address - Phone:208-777-1320
Mailing Address - Fax:208-777-1322
Practice Address - Street 1:323 N SPOKANE ST
Practice Address - Street 2:STE 100
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-9513
Practice Address - Country:US
Practice Address - Phone:208-777-1320
Practice Address - Fax:208-777-1322
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDAUD-1082174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist