Healthcare Provider Details

I. General information

NPI: 1427973155
Provider Name (Legal Business Name): VICTORIA HOGBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10320 DURANT RD STE 109
RALEIGH NC
27614-6466
US

IV. Provider business mailing address

539 S LINCOLN ST
BENSON NC
27504-1811
US

V. Phone/Fax

Practice location:
  • Phone: 919-234-7770
  • Fax:
Mailing address:
  • Phone: 919-234-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number01063
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: