Doctor Name: | MR. PAUL MATTHEW HOGATE |
NPI Number: | 1497973572 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC,LCSW |
License Number: | 37PC00075700 |
Business Practice Address: | 178 N Broadway Pennsville, NJ - 080701422 |
Business Phone Number: | 8566780448 |
Business Fax Number: | |
Mailing Address: | 68 Oak St, PENNSVILLE |
State: | NJ |
Postal Code: | 080702043 |
Phone Number: | 8566784576 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00075700 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |