Provider Demographics
NPI:1477546992
Name:HOGUE, SHARI L (PHD)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:L
Last Name:HOGUE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W CENTRAL TEXAS EXPY
Mailing Address - Street 2:SUITE 212
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2079
Mailing Address - Country:US
Mailing Address - Phone:254-383-6063
Mailing Address - Fax:254-953-3236
Practice Address - Street 1:100 W CENTRAL TEXAS EXPY
Practice Address - Street 2:SUITE 212
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2079
Practice Address - Country:US
Practice Address - Phone:254-383-6063
Practice Address - Fax:254-953-3236
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31064103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149410601Medicaid
TX8F24183OtherMEDICARE PTAN
TX149410601Medicaid