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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ARVIS BENNETT BOUGHMAN, MACCCSLP

Active Sole Proprietor

MR. ARVIS BENNETT BOUGHMAN, MACCCSLP is a Speech, Language and Hearing Specialist healthcare provider located in DREXEL, North Carolina. NPI 1194872275 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · DREXEL, NC

Registration Details

NPI Number
1194872275
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2007 (19.465809395151 yrs)
Last Updated
Jul 9, 2007
License
SLP 4704 (NC)
Sole Proprietor
Yes

Practice Information

Address
202 MIMOSA DRIVE
DREXEL, NC, 286192795
Browse NC providers · Browse ZIP 28619
Phone
8284434395
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.