Individual
MALAUNA CRIVENS HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
31747
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182674504
—
TX
01
—
87077A
BCBS
TX
Enumeration date
11/08/2005
Last updated
09/30/2021
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