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Individual

DR. CHARLES HENRY HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
20 CHESTNUT ST, SUITE 7, NEEDHAM, MA 02492-2576
(781) 449-4073
(781) 453-8824
Mailing address
20 CHESTNUT ST, SUITE 7, NEEDHAM, MA 02492-2576
(781) 449-4073
(781) 453-8824

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
4965
MA
103TH0100X
Health Service Psychologist
Primary
4965
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
052559000
MAGELLAN BEHAVIORAL HEALT
MA
01
721268
TUFTS HEALTH PLAN
MA
01
HARVARD PILGRIM HEAL
32380
MA
01
WO4683
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
08/15/2006
Last updated
03/16/2012
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