Hogan, Charles Alvin

Hogan, Charles Alvin is an individual health care provider with primary practice located at 1415 Ridgeback Rd , Chula Vista CA 91910-6932. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hogan, Charles Alvin can be contacted via phone (619) 656-3775.

Contact Information

Primary practice address
1415 Ridgeback Rd Chula Vista CA 91910-6932
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY7029 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X EB1138 California

Profile Details

NPI number 1881688000
LBN Legal business name Hogan, Charles Alvin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers