Individual
JOHNNY HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5264 LOOKOUT ST, LAS VEGAS, NV 89120-1249
(702) 834-0360
Mailing address
4424 LOMA CT, LAS VEGAS, NV 89130-5204
(702) 834-0360
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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