Organization
BERNABO & HOGAN PSYCHOLOGICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ALVIN HOGAN PHD (PRESIDENT)
(610) 656-3775
Entity
Organization
Contact information
Practice address
1415 RIDGEBACK RD, SUITE 2, CHULA VISTA, CA 91910-6932
(619) 656-3775
(858) 549-3146
Mailing address
1415 RIDGEBACK RD, SUITE 2, CHULA VISTA, CA 91910-6932
(619) 656-3775
(858) 549-3146
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY7029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881688000
DR. HOGAN NPI
CA
01
—
1942220801
DR. BERNABO NPI
CA
Enumeration date
11/21/2006
Last updated
08/22/2020
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