| Doctor Name: | MICHAEL A HOGE |
| NPI Number: | 1063493849 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 001221 |
| Business Practice Address: | 95 Circular Ave Hamden, CT - 065144004 |
| Business Phone Number: | 2032886253 |
| Business Fax Number: | 2032880948 |
| Mailing Address: | Po Box 9805, 300 George St 6th Floor NEW HAVEN |
| State: | CT |
| Postal Code: | 065360805 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2005 |
| NPI Last Update Date: | 07/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 001221 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |