Buffy Renee Boger, MS SLP CCC
Individual provider Active NPI Speech-Language Pathologist · Vernon, TX
NPI 1396946992 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1396946992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 24665 (TX)
- Practice address
- 1711 London St
Vernon, TX 76384-6225 - Phone
- (940) 553-3784
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24665 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 24665 | TX | Yes |
Addresses
Primary practice location
1711 London St
Vernon, TX 76384-6225
Mailing address
1711 London St
Vernon, TX 76384-6225
Phone (940) 553-3784
Other providers in Vernon, TX
- BBWK Enterprises, LLC
- Adam Blake Beam
- BK Outfitters LLC
- Haley Bobbitt
- Jessica Nicole Bodily
- James Robert Boger
- Michele Lynne Borynski
- Mary Hazel Brantley
- Janet Lynne Bristo
- Kevin Thomas Brown
All providers in Vernon, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.