| Dr Edd Easton Hogg Psyd Pllc | |
|
210 N Broadway St 5 Berea KY 40403-2212 | |
| (859) 779-0616 | |
| Not Available |
| Full Name | Dr Edd Easton Hogg Psyd Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 210 N Broadway St, Berea, Kentucky |
| Authorized Official Name and Position | Edd Easton-hogg (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8597790616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edd Easton Hogg Psyd Pllc 210 N Broadway St 5 Berea KY 40403-2212 Ph: (859) 779-0616 | Dr Edd Easton Hogg Psyd Pllc 210 N Broadway St 5 Berea KY 40403-2212 Ph: (859) 779-0616 |
| NPI Number | 1932518982 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932518982 | NPI | - | NPPES |
| 130240 | Other | KY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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