Individual
DR. DOUGLAS RAY HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4 WOODY LN, NORTHPORT, NY 11768-3252
(631) 754-5289
Mailing address
4 WOODY LN, NORTHPORT, NY 11768-3252
(631) 754-5289
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
006993
NY
103TC0700X
Clinical Psychologist
Primary
006993
NY
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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