Doctor Name: | ERIN BOGREN |
NPI Number: | 1720274996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 1124 New Hwy 52 East Westmoreland, TN - 37186 |
Business Phone Number: | 6156442000 |
Business Fax Number: | 6152442078 |
Mailing Address: | 1124 New Hwy 52 East, WESTMORELAND |
State: | TN |
Postal Code: | 37186 |
Phone Number: | 6156442000 |
Fax Number: | 6152442078 |
NPI Enumeration Date: | 09/20/2007 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |