Individual
STACY POPE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
209 JOHN C JONES PKWY, SOUTH FULTON, TN 38257-2707
(731) 479-2304
Mailing address
1066 WILDWOOD CV, UNION CITY, TN 38261-5861
(731) 885-9492
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2208
TN
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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