Provider Demographics
NPI:1902185606
Name:WENDY HOGE LCSW PC
Entity Type:Organization
Organization Name:WENDY HOGE LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-363-9299
Mailing Address - Street 1:433 US ROUTE 1
Mailing Address - Street 2:102
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1659
Mailing Address - Country:US
Mailing Address - Phone:207-363-9299
Mailing Address - Fax:207-363-9299
Practice Address - Street 1:433 US ROUTE 1
Practice Address - Street 2:102
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1659
Practice Address - Country:US
Practice Address - Phone:207-363-9299
Practice Address - Fax:207-363-9299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty