Provider Demographics
NPI:1932435237
Name:BOGGS, TERESA SINGLETARY (HIS #1198)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:SINGLETARY
Last Name:BOGGS
Suffix:
Gender:F
Credentials:HIS #1198
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 S 17TH ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7911
Mailing Address - Country:US
Mailing Address - Phone:910-799-4327
Mailing Address - Fax:910-799-4315
Practice Address - Street 1:2316 S 17TH ST
Practice Address - Street 2:SUITE 160
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7911
Practice Address - Country:US
Practice Address - Phone:910-799-4327
Practice Address - Fax:910-799-4315
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1198237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist