Provider Demographics
NPI:1326401480
Name:BOGASH, HANNAH (MS, SLP-CCC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:BOGASH
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32107 LINDERO CANYON RD STE 113
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4241
Mailing Address - Country:US
Mailing Address - Phone:818-804-8131
Mailing Address - Fax:
Practice Address - Street 1:32107 LINDERO CANYON RD STE 113
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4241
Practice Address - Country:US
Practice Address - Phone:818-804-8131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-05
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28769235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty