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Individual

MICHAEL A HOGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
95 CIRCULAR AVE, HAMDEN, CT 06514-4004
(203) 288-6253
(203) 288-0948
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLOOR, NEW HAVEN, CT 06536-0805

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001221
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004167715
CT
Enumeration date
11/09/2005
Last updated
07/08/2008
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