Provider Demographics
NPI:1356480776
Name:HOGAN, DAVID (LPC LMFT LCDC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:HOGAN
Suffix:
Gender:M
Credentials:LPC LMFT LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-5435
Mailing Address - Country:US
Mailing Address - Phone:281-428-1126
Mailing Address - Fax:281-427-6883
Practice Address - Street 1:1605 ADAMS ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-5435
Practice Address - Country:US
Practice Address - Phone:281-428-1126
Practice Address - Fax:281-427-6883
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11672101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health