Ivy Marie Boggs, MS/CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Somersworth, NH
NPI 1669093605 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1669093605
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0115 (NH)
- Practice address
- 317 Main St
Somersworth, NH 03878-3099 - Phone
- (603) 692-4411
- Fax
- (603) 692-6717
- NPI assigned
- Apr 30, 2020
- 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 |
|---|---|---|---|
| 0115 | NH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0115 | NH | Yes |
Addresses
Primary practice location
317 Main St
Somersworth, NH 03878-3099
Mailing address
11 Hodgkins Way
Rochester, NH 03868-5911
Phone (603) 335-6286
Other practice location 1
31A W Main St
Newton, NH 03858-3532
Phone (603) 679-2021
Other names
- Ivy Marie Boggis Gooden
Other providers in Somersworth, NH
- Diana Bertulyte
- Birch Haven Counseling Associates, P.L.L.C
- Birch Haven Psychological Associates, P.L.L.C.
- Charles M Blitzer
- John D Bloom
- Deirore A Boryszewski
- C. Anthony Bourn
- Leslie Ann Bouvier
- Kristine Bowers
- Bracken Godfrey DDS Ms LLC
All providers in Somersworth, NH · Speech-Language Pathologist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. 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.