| Doctor Name: | DR. REX RUSSELL VOGAN |
| NPI Number: | 1073763330 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | 0810004000 |
| Business Practice Address: | 44121 Harry Byrd Hwy Suite 255 Ashburn, VA - 201475667 |
| Business Phone Number: | 4105073777 |
| Business Fax Number: | |
| Mailing Address: | 44121 Harry Byrd Hwy, Suite 255 ASHBURN |
| State: | VA |
| Postal Code: | 201475667 |
| Phone Number: | 4105073777 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2008 |
| NPI Last Update Date: | 09/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810004000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |