Individual
MRS. JESSICA ELIZABETH HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1931 65TH AVE STE C, GREELEY, CO 80634-7946
(970) 702-2507
Mailing address
4632 ECHO CIR, FORT COLLINS, CO 80526-4568
(617) 448-5633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0001175
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001175
DORA
CO
01
—
12067828
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
MA
Enumeration date
01/22/2009
Last updated
02/15/2020
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