Individual
ALAN LEE OGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
110 WEST CAMELBACK ROAD, SUITE 200, PHOENIX, AZ 85013
(602) 230-2222
(602) 230-2026
Mailing address
3430 NORTH MOUNTAIN RIDGE, UNIT 70, MESA, AZ 85207
(480) 830-3963
(602) 230-2026
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
1008
NC
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3463
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
787624
AHCCS PROVIDER NUMBER
AZ
Enumeration date
07/19/2006
Last updated
07/08/2007
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