National Provider Identifier

Shari Lee Bogold-Baumann, MS, CCC-SLP

Shari Lee Bogold-Baumann, MS, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Derby, NY and a listed phone number of (716) 912-3061.

NPI 1710535174Derby, NYSpeech-Language Pathologist

Profile Overview

NPI
1710535174
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 29, 2019
Last Updated
August 29, 2019

Practice Location

  • 6555 Lake Shore RD
  • Derby, NY 14047-9584

Phone: (716) 912-3061

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1710535174
Entity Type
Individual
Last Name
Bogold-Baumann
First Name
Shari
Middle Name
Lee
Credential
MS, CCC-SLP
Mailing Street Address
6555 Lake Shore RD
Mailing City
Derby
Mailing State
NY
Mailing ZIP Code
14047-9584
Mailing Country
US
Mailing Phone
(716) 912-3061
Practice Street Address
6555 Lake Shore RD
Practice City
Derby
Practice State
NY
Practice ZIP Code
14047-9584
Practice Country
US
Practice Phone
(716) 912-3061
Enumeration Date
August 29, 2019
Last Updated
August 29, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)