Individual
DEBRA HOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
919 S UTAH AVE, IDAHO FALLS, ID 83402-3322
(208) 542-7190
Mailing address
2841 HOMESTEAD LN, IDAHO FALLS, ID 83404-7172
(208) 757-1376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1309
ID
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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