Provider Demographics
NPI:1023247962
Name:BOSO-SUGGS, RHONDA LYNN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:LYNN
Last Name:BOSO-SUGGS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 GARFIELD AVE.
Mailing Address - Street 2:P.O. BOX 718 CAMDEN-CLARK MEMORIAL HOSPITAL
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26102-8409
Mailing Address - Country:US
Mailing Address - Phone:304-424-2314
Mailing Address - Fax:304-424-2720
Practice Address - Street 1:800 GARFIELD AVE.
Practice Address - Street 2:CAMDEN-CLARK MEMORIAL HOSPITAL
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26102-8409
Practice Address - Country:US
Practice Address - Phone:304-424-2314
Practice Address - Fax:304-424-2720
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSLP-0502235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist