Healthcare Provider Details

I. General information

NPI: 1285570317
Provider Name (Legal Business Name): ERIN BOGGS SPEECH THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1366 PARKWOOD PL NW
WASHINGTON DC
20010-1315
US

IV. Provider business mailing address

1366 PARKWOOD PL NW
WASHINGTON DC
20010-1315
US

V. Phone/Fax

Practice location:
  • Phone: 540-798-5692
  • Fax:
Mailing address:
  • Phone: 540-798-5692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIN BOGGS
Title or Position: SPEECH PATHOLOGIST
Credential: CCC-SLP
Phone: 540-798-5692