Charles Henry Hogan in Needham - Health Service

Charles Henry Hogan - NPI 1720091184

Charles Henry Hogan is a Health Service in Needham, Massachusetts. Charles Henry Hogan practices all healthcare services and medical treatments related to Health Service. The NPI Number for Charles Henry Hogan is 1720091184. The last update date is 2012-03-16.

Charles Henry Hogan's current location address is 20 Chestnut St, Needham, Massachusetts. You can contact this provider via phone number 7814494073 and fax number 7814538824. The mailing address for Charles Henry Hogan is 20 Chestnut St, Needham, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Henry Hogan
Address 20 Chestnut St, Needham, Massachusetts
Phone Number 7814494073
Fax Number 7814538824
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1720091184
Provider Enumeration Date 2006-08-15
Last Updated Date 2012-03-16

Provider Mailing Address Detail

Address 20 Chestnut St
City Needham
State Massachusetts (MA)
Post Code 24922576
Phone Number 7814494073
Fax Number 7814538824

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No 4965
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
52559000 MA MAGELLAN BEHAVIORAL HEALT
WO4683 MA BLUE CROSS/BLUE SHIELD
HARVARD PILGRIM MA 32380
721268 MA TUFTS HEALTH PLAN

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FAQs about Charles Henry Hogan

What is the Charles Henry Hogan's unique identification number?

The Charles Henry Hogan has been assigned the NPI (National Provider Identifier) Number 1720091184 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Charles Henry Hogan is physically located?

The Charles Henry Hogan is physically situated at the following address: 20 Chestnut St, Needham, MA, 24922576.

What is Charles Henry Hogan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Charles Henry Hogan is Health Service, and the taxonomy classification code that categorizes this area of expertise is 103Th0100X.

On what date did the Centers for Medicare & Medicaid Services issue the 1720091184 to Charles Henry Hogan?

The Charles Henry Hogan received its 1720091184 assignment from the Centers for Medicare & Medicaid Services on 2006-08-15.

As of what date was the information regarding Charles Henry Hogan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles Henry Hogan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-16.

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