Provider Demographics
NPI:1346503018
Name:LODIGIANI, WHITNEY BOGLIOLI (MS CCC-S:P)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:BOGLIOLI
Last Name:LODIGIANI
Suffix:
Gender:F
Credentials:MS CCC-S:P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7215 STONEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-7385
Mailing Address - Country:US
Mailing Address - Phone:732-221-9523
Mailing Address - Fax:
Practice Address - Street 1:105 WAXHAW PROFESSIONAL PARK DR STE A
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-5018
Practice Address - Country:US
Practice Address - Phone:704-627-4027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30002250235Z00000X
SC8931235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty