MEDICARE: MS. ALLISON LEIGH HOGAN MA, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA 10183	FL

General Provider Information

NPI Number	:	1952632325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALLISON LEIGH HOGAN MA, CCC-SLP

Provider Business Mailing Address
First Line	:	1009 NE 7TH PL
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32601-5647
Country	:	US
Telephone Number	:	352-328-6828
Fax Number	:

Provider Business Practice Location Address
First Line	:	4423 NW 6TH PL STE C
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32607-6116
Country	:	US
Telephone Number	:	352-379-8555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2010
Last Update Date	:	01/25/2010

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Directions to “ MS. ALLISON LEIGH HOGAN MA, CCC-SLP” Practice Location

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