Individual
JOHN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
404 LAKE ESTATE DR, CHAPIN, SC 29036-7662
(803) 360-8428
Mailing address
404 LAKE ESTATE DR, CHAPIN, SC 29036-7662
(803) 360-8428
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
588
SC
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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