Provider Demographics
NPI:1407168909
Name:BOGGIA, BARBARA (LMHC, NCSP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:BOGGIA
Suffix:
Gender:F
Credentials:LMHC, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 STOCK FARM RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12817-4210
Mailing Address - Country:US
Mailing Address - Phone:518-494-4481
Mailing Address - Fax:518-494-4888
Practice Address - Street 1:528 STOCK FARM RD
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:NY
Practice Address - Zip Code:12817-4210
Practice Address - Country:US
Practice Address - Phone:518-494-4481
Practice Address - Fax:518-494-4888
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000148101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health