Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassandra Boggon

Individual provider Specialist · NPI 1770803496

Cassandra Boggon is a Specialist in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

16203 Wyoming St
Detroit, MI 48221-3417
Phone: (313) 864-2788
Fax: (866) 267-7903
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2701115101 (MI)

Record details

NPI number1770803496
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2010
Last updated in NPPESJune 3, 2010

Other providers in Detroit