Organization · Type 2 NPI

Mariella L. Hogan, Ph.d., Atr-Bc, PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Boise, ID

NPI number 1699075838 Active

Practice location

1010 W Hays St
Boise, ID 83702-5435

Fax (208) 344-1982

Other practice locations

  • 100 Main St, Suite 201, Boise, ID 83702-7360 · (208) 284-5273

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XPSY-202270 (ID)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

6 other providers at this address

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About NPI 1699075838

Mariella L. Hogan, Ph.d., Atr-Bc, PLLC's National Provider Identifier is 1699075838, issued on Oct 21, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Boise, ID. The record was last updated on Jun 11, 2019.