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Individual

DR. JUDY MAUREEN HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH D. , M.A.

Contact information

Practice address
1601 W SAINT MARYS RD, TUCSON, AZ 85745-2623
(520) 872-4310
Mailing address
2825 E DEVON ST, TUCSON, AZ 85716-5507
(520) 661-6755

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LISAC 10766
AZ
103TC0700X
Clinical Psychologist
Primary
3921
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3921
ARIZONA PHD
AZ
Enumeration date
07/31/2006
Last updated
02/27/2008
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