Individual
MARY CATHRYN HOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
956 MATHIAS DR, SPRINGDALE, AR 72762-0985
(479) 419-9911
Mailing address
4101 GASCONY WAY, FORT SMITH, AR 72903-6347
(501) 230-1788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192030721
—
AR
Enumeration date
06/24/2012
Last updated
03/18/2016
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