Provider Demographics
NPI:1649671652
Name:HOGL, CASSANDRA JANE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:JANE
Last Name:HOGL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:
Other - Last Name:HOGL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:1145 MT BAKER HWY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8769
Mailing Address - Country:US
Mailing Address - Phone:360-756-1495
Mailing Address - Fax:360-756-8868
Practice Address - Street 1:1145 MT BAKER HWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8769
Practice Address - Country:US
Practice Address - Phone:360-756-1495
Practice Address - Fax:360-756-8868
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL 60477480235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist