Provider Demographics
NPI:1871546317
Name:HOGG, MARY SCOTTIE (RN,LPC)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:SCOTTIE
Last Name:HOGG
Suffix:
Gender:F
Credentials:RN,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 BENSON RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-3992
Mailing Address - Country:US
Mailing Address - Phone:919-819-7417
Mailing Address - Fax:
Practice Address - Street 1:820 BENSON RD
Practice Address - Street 2:SUITE D
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-3992
Practice Address - Country:US
Practice Address - Phone:919-819-7417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC614101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health