Hogue, Mark Allen

Hogue, Mark Allen is an individual health care provider with primary practice located at 120 E 2Nd St Third Floor, Erie PA 16507-1537. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Hogue, Mark Allen can be contacted via phone (814) 452-8300.

Contact Information

Primary practice address
120 E 2Nd St Third Floor Erie PA 16507-1537
Phone: (814) 452-8300
Fax: (814) 452-8308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS-004347-L Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS-004347-L Pennsylvania

Profile Details

NPI number 1659377182
LBN Legal business name Hogue, Mark Allen
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Aug 19th, 2015 - about 9 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 1659377182 NPPES
Pennsylvania Other 620006097 RAILROAD MEDICARE IND#
Pennsylvania MEDICAID 7368785 RAILROAD MEDICARE IND#

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