| Doctor Name: | DEIRDRE G. HOGAN |
| NPI Number: | 1003901398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LC6912 |
| Business Practice Address: | 153 Us Route 1 Suite 26, Box 10 Scarborough, ME - 040749052 |
| Business Phone Number: | 2073299621 |
| Business Fax Number: | 2078832721 |
| Mailing Address: | 153 Us Route 1, Suite 26, Box 10 SCARBOROUGH |
| State: | ME |
| Postal Code: | 040749052 |
| Phone Number: | 2073299621 |
| Fax Number: | 2078832721 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 01/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LC6912 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |