Organization
DR EDD EASTON HOGG PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDD EASTON-HOGG PSYD (CLINICAL PSYCHOLOGIST)
(859) 779-0616
Entity
Organization
Contact information
Practice address
210 N BROADWAY ST, 5, BEREA, KY 40403-2212
(859) 779-0616
Mailing address
210 N BROADWAY ST, 5, BEREA, KY 40403-2212
(859) 779-0616
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130240
LICENSE
KY
Enumeration date
08/04/2014
Last updated
03/04/2024
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