Individual
MR. SCOTT M HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 E HAMILTON RD, BLOOMINGTON, IL 61704-7574
(309) 828-5231
Mailing address
105 E HAMILTON RD, BLOOMINGTON, IL 61704-7574
(309) 828-5231
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
183097
IL
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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