Provider Demographics
NPI:1184874018
Name:HOGLUND, EVELYN MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:MARIE
Last Name:HOGLUND
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 1:2770 CLIME RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223-3626
Mailing Address - Country:US
Mailing Address - Phone:614-276-8222
Mailing Address - Fax:614-351-3417
Practice Address - Street 1:2770 CLIME RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-3626
Practice Address - Country:US
Practice Address - Phone:614-276-8222
Practice Address - Fax:614-351-3417
Is Sole Proprietor?:No
Enumeration Date:2008-09-28
Last Update Date:2008-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4061235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist