Individual
JEANNE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1441 KAPIOLANI BLVD STE 1413, HONOLULU, HI 96814-4473
(808) 947-7466
Mailing address
PO BOX 25668, HONOLULU, HI 96825-0668
(808) 536-0300
(808) 536-0320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
725
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50660202
—
HI
Enumeration date
09/16/2006
Last updated
10/11/2007
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