Doctor Name: | MR. SAMUEL PATRICK FOGLE |
NPI Number: | 1790752319 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., L.P.C. |
License Number: | 16245 |
Business Practice Address: | 1219 E South 11th St Suite A Abilene, TX - 796024283 |
Business Phone Number: | 3256762039 |
Business Fax Number: | 3254804784 |
Mailing Address: | 1219 E South 11th St, Suite A ABILENE |
State: | TX |
Postal Code: | 796024283 |
Phone Number: | 3256762039 |
Fax Number: | 3254804784 |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 16245 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |