Provider Demographics
NPI:1679468078
Name:SCOGGINS, OLIVIA MARIE (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:MARIE
Last Name:SCOGGINS
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10840 RIO SPRINGS DR APT 13-304
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-7819
Mailing Address - Country:US
Mailing Address - Phone:843-480-1369
Mailing Address - Fax:
Practice Address - Street 1:8514 SIX FORKS RD STE 102
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3254
Practice Address - Country:US
Practice Address - Phone:843-480-1369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist