Individual
CARLY HOGSED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6924 W LINEBAUGH AVE, TAMPA, FL 33625-5800
(813) 962-6766
Mailing address
6924 W LINEBAUGH AVE, TAMPA, FL 33625-5800
(813) 962-6766
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15813
FL
235Z00000X
Speech-Language Pathologist
SZ7640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018270500
—
FL
Enumeration date
07/21/2016
Last updated
12/11/2017
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