Hogan, Deirdre G.

Hogan, Deirdre G. is an sole proprietor health care provider with primary practice located at 153 Us Route 1 Suite 26, Box 10, Scarborough ME 04074-9052. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hogan, Deirdre G. can be contacted via phone (207) 329-9621.

Contact Information

Primary practice address
153 Us Route 1 Suite 26, Box 10 Scarborough ME 04074-9052
Phone: (207) 329-9621
Fax: (207) 883-2721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC6912 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC6912 Maine

Profile Details

NPI number 1003901398
LBN Legal business name Hogan, Deirdre G.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jan 28th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003901398 NPPES
Maine MEDICAID 431517499

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