Organization
MARIELLA L. HOGAN, PH.D., ATR-BC, PLLC
Active
Other names
Hays Street Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIELLA L. HOGAN PH.D. (LICENSED PSYCHOLOGIST, OWNER, MGT)
(208) 284-5273
Entity
Organization
Contact information
Practice address
1010 W HAYS ST, BOISE, ID 83702-5435
(208) 284-5273
(208) 344-1982
Mailing address
1010 W HAYS ST, BOISE, ID 83702-5435
(208) 284-5273
(208) 344-1982
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY-202270
ID
Other
Enumeration date
10/21/2010
Last updated
06/11/2019
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