Individual
MARK ALLEN HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
120 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1537
(814) 452-8300
(814) 452-8308
Mailing address
120 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1537
(814) 452-8300
(814) 452-8308
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS-004347-L
PA
103TC0700X
Clinical Psychologist
PS-004347-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620006097
RAILROAD MEDICARE IND#
PA
05
—
7368785
—
PA
Enumeration date
06/21/2005
Last updated
08/19/2015
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