Individual
KERRY L HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3973B MARKET ST, WILMINGTON, NC 28403-1403
(910) 763-0699
(910) 763-0489
Mailing address
3973B MARKET ST, WILMINGTON, NC 28403-1403
(910) 763-0699
(910) 763-0489
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2968
NC
103TC0700X
Clinical Psychologist
2968
NC
103TC2200X
Clinical Child & Adolescent Psychologist
2968
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
2968
NC
103TP2701X
Group Psychotherapy Psychologist
2968
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000934
—
NC
Enumeration date
01/23/2007
Last updated
09/11/2025
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