Individual
JOCELYN HOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S 1400 W, PINGREE, ID 83262-1324
(208) 604-3018
Mailing address
555 S 1400 W, PINGREE, ID 83262-1324
(208) 604-3018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-4699
ID
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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