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MARK ALLEN HOGUE PSY.D.

Clinical Neuropsychologist

Erie, Pennsylvania

Provider NPI: 1659377182

Provider Information:
 MARK ALLEN HOGUE PSY.D.
Gender: M
Not Sole Proprietor

Practice Location:
120 E 2ND ST THIRD FLOOR ERIE, PA 16507 US
Tel: 814-452-8300  Fax: 814-452-8308

Business Mailing Address:
120 E 2ND ST THIRD FLOOR ERIE, PA 16507 US
Tel: 814-452-8300  Fax: 814-452-8308

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
PAPS-004347-L
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
PAPS-004347-L

Other Provider Identifiers:

IssuerNumberStateType
7368785PA05
RAILROAD MEDICARE IND#620006097PA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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