Kerry L Hogan in Wilmington - Cognitive & Behavioral
Kerry L Hogan - NPI 1679628648
Kerry L Hogan is a Cognitive & Behavioral in Wilmington, North Carolina. Kerry L Hogan practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Kerry L Hogan is 1679628648. The last update date is 2007-07-09.
Kerry L Hogan's current location address is 3973b Market St, Wilmington, North Carolina. You can contact this provider via phone number 9107630699 and fax number 9107630489. The mailing address for Kerry L Hogan is 3973b Market St, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry L Hogan |
|---|---|
| Address | 3973b Market St, Wilmington, North Carolina |
| Phone Number | 9107630699 |
| Fax Number | 9107630489 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1679628648 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3973b Market St |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284031403 |
| Phone Number | 9107630699 |
| Fax Number | 9107630489 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 2968 |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6000934 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kerry L Hogan by the Centers for Medicare & Medicaid Services?
The Kerry L Hogan has been issued the NPI (National Provider Identifier) 1679628648 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kerry L Hogan?
The Kerry L Hogan is physically situated at 3973B Market St, in the city of Wilmington, state of NC, with the postal code 284031403.
What is Kerry L Hogan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kerry L Hogan's specialized field of practice is Cognitive & Behavioral, and the corresponding taxonomy code that categorizes this area of specialization is 103Tb0200X.
On what date did the Kerry L Hogan receive its 1679628648 assignment from the Centers for Medicare & Medicaid Services?
The Kerry L Hogan was assigned its 1679628648 by the Centers for Medicare & Medicaid Services on 2007-01-23.
As of what date were the Kerry L Hogan's details last updated?
The information pertaining to the Kerry L Hogan, including its address, specialty, and other details, was most recently updated on 2007-07-09.