| Doctor Name: | SUSAN S HOGE |
| NPI Number: | 1326133729 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 7675 |
| Business Practice Address: | 300 West Main Street Fox Meadows, Bldg B Northborough, MA - 01532 |
| Business Phone Number: | 5083931337 |
| Business Fax Number: | 5083931387 |
| Mailing Address: | 300 West Main Street, Fox Meadows, Bldg B NORTHBOROUGH |
| State: | MA |
| Postal Code: | 01532 |
| Phone Number: | 5083931337 |
| Fax Number: | 5083931387 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 7675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |