Healthcare Provider Details

I. General information

NPI: 1538089255
Provider Name (Legal Business Name): CAROLINE ELIZABETH BOGOLIN LAPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 OXFORD DR STE 110
MONROEVILLE PA
15146-2361
US

IV. Provider business mailing address

1806 EBERHARDT ST
PITTSBURGH PA
15212-3604
US

V. Phone/Fax

Practice location:
  • Phone: 412-823-5155
  • Fax:
Mailing address:
  • Phone: 803-404-0053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberAPC002577
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: