Healthcare Provider Details

I. General information

NPI: 1609125236
Provider Name (Legal Business Name): BARBARA OGDEN MS ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 4TH ST
TROY NY
12180-5324
US

IV. Provider business mailing address

32 LINDA LN
NISKAYUNA NY
12309-1962
US

V. Phone/Fax

Practice location:
  • Phone: 518-271-6777
  • Fax:
Mailing address:
  • Phone: 518-452-7375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: