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Individual

DR. HOGAN GAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
420 N JAMES RD RM 1A-317, COLUMBUS, OH 43219-1834
(614) 257-5200

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
11/17/2020
Last updated
10/23/2023
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