Provider Demographics
NPI:1821446329
Name:HOGAN, BAILEY DENISE (SLP-ASSISTANT)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:DENISE
Last Name:HOGAN
Suffix:
Gender:F
Credentials:SLP-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1291 COUNTY ROAD 1116
Mailing Address - Street 2:
Mailing Address - City:MAUD
Mailing Address - State:TX
Mailing Address - Zip Code:75567-2930
Mailing Address - Country:US
Mailing Address - Phone:903-280-4316
Mailing Address - Fax:
Practice Address - Street 1:1291 COUNTY ROAD 1116
Practice Address - Street 2:
Practice Address - City:MAUD
Practice Address - State:TX
Practice Address - Zip Code:75567-2930
Practice Address - Country:US
Practice Address - Phone:903-280-4316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX372452355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant