Kerry L Hogan in Wilmington - Clinical Child & Adolescent

Kerry L Hogan - NPI 1679628648

Kerry L Hogan is a Clinical Child & Adolescent in Wilmington, North Carolina. Kerry L Hogan practices all healthcare services and medical treatments related to Clinical Child & Adolescent. 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 Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 2968
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6000934 NC --

Post Comment/ Review Below

FAQs about Kerry L Hogan

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 Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.

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.

Other Providers of Clinical Child & Adolescent
Arlene Beth Staubsinger

Address: Po Box 2333, Clay, NY

Alicia Perry

Address: 11541 County Road 1, Fairhope, AL

Efrain Segarra

Address: 5557 Carys Brook Ln, Gloucester, VA

Lynne Reed

Address: Po Box 2356, Guerneville, CA

Stan Heck

Address: 176 Barnwood Dr, Edgewood, KY

Roderick Seites Hall

Address: 1224 10th St, Coronado, CA

Robert M Gordon

Address: 1259 S Cedar Crest Blvd, Allentown, PA

Douglas Michael Buyer

Address: 1438 W 38th St, Erie, PA

Lifestream Behavioral Center Inc

Address: Po Box 491000, Leesburg, FL

The Network For Behavior Change

Address: 848 W Kings Hwy, Coatesville, PA

Steven Albert Kossor

Address: 848 W Kings Hwy, Coatesville, PA

Leslie Anne Savage

Address: 1191 Nw Tahoe Lane, Silverdale, WA

Angela Marquis Sims

Address: 2022 Fifteenth Avenue, Columbus, GA

Marolyn E Morford

Address: 1315 W College Ave, State College, PA

James K Childerston

Address: 1146 Opal Ct, Hagerstown, MD