Provider Demographics
NPI:1518698935
Name:JOSEPH E FOGLE
Entity Type:Organization
Organization Name:JOSEPH E FOGLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:FOGLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-536-9627
Mailing Address - Street 1:9412 WINDY KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-7560
Mailing Address - Country:US
Mailing Address - Phone:214-536-9627
Mailing Address - Fax:214-348-2849
Practice Address - Street 1:9412 WINDY KNOLL DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-7560
Practice Address - Country:US
Practice Address - Phone:214-536-9627
Practice Address - Fax:214-348-2849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty