Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirsten Lara Bogue, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1548405723

Kirsten Lara Bogue, MSCCCSLP is a Speech-Language Pathologist in Bradford, Pennsylvania. Practices as a sole proprietor. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

1119 High St
Bradford, PA 16701
Phone: (716) 307-2557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 012242-1 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 0122421 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SL009962 (PA)

Record details

NPI number1548405723
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedDecember 2, 2008
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

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