Provider Demographics
NPI:1750584496
Name:OGIN, HOWARD M (LIC PSYCHOLOGIST)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:M
Last Name:OGIN
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Gender:M
Credentials:LIC PSYCHOLOGIST
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Mailing Address - Street 1:1096 N CHURCH ST
Mailing Address - Street 2:ROUTE 309
Mailing Address - City:HAZLE TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18202-1410
Mailing Address - Country:US
Mailing Address - Phone:570-455-6115
Mailing Address - Fax:570-455-6119
Practice Address - Street 1:1096 N CHURCH ST
Practice Address - Street 2:ROUTE 309
Practice Address - City:HAZLE TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18202-1410
Practice Address - Country:US
Practice Address - Phone:570-455-6115
Practice Address - Fax:570-455-6119
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2011-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPS006704L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist