Provider Demographics
NPI:1881815157
Name:HOGAN, ANNE E (MS, PHD, CCC-A)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:HOGAN
Suffix:
Gender:F
Credentials:MS, PHD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 S UTICA AVE
Mailing Address - Street 2:CREDENTIALING OFC, GROUND FL
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-6520
Mailing Address - Country:US
Mailing Address - Phone:918-403-7065
Mailing Address - Fax:918-744-2946
Practice Address - Street 1:800 W BOISE CIR STE 320
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-4954
Practice Address - Country:US
Practice Address - Phone:918-994-9150
Practice Address - Fax:918-403-6323
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001377231H00000X
NC6320231H00000X
OR030776231H00000X
OK6163231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist