Hogan, Kerry L
Hogan, Kerry L is an sole proprietor health care provider with primary practice located at 3973B Market St , Wilmington NC 28403-1403. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hogan, Kerry L can be contacted via phone (910) 763-0699.Contact Information
Primary practice address
3973B Market St
Wilmington NC 28403-1403
Phone: (910) 763-0699
Fax: (910) 763-0489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2968 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2968 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 2968 | North Carolina |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 2968 | North Carolina |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 2968 | North Carolina |
Profile Details
| NPI number | 1679628648 |
|---|---|
| LBN Legal business name | Hogan, Kerry L |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679628648 | NPPES |
| North Carolina | MEDICAID | 6000934 |
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