Provider Demographics
NPI:1588992457
Name:SCOGGINS, NADJA CATHERINE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:NADJA
Middle Name:CATHERINE
Last Name:SCOGGINS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MS
Other - First Name:NADJA
Other - Middle Name:CATHERINE
Other - Last Name:SEEFRIED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:476 OLD ROUTE 209
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12443-5926
Mailing Address - Country:US
Mailing Address - Phone:845-339-4040
Mailing Address - Fax:845-339-4041
Practice Address - Street 1:68 HARRIS BUSHVILLE ROAD
Practice Address - Street 2:
Practice Address - City:HARRIS
Practice Address - State:NY
Practice Address - Zip Code:12742
Practice Address - Country:US
Practice Address - Phone:845-794-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018491-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist