IndividualActive
Charlie Hogan
NPI 1629810965 · Marriage & Family Therapist · Southfield, MI
Provider details
- NPI number
- 1629810965
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
26555 Evergreen Rd Ste 870
Southfield, MI 48076-4239
Phone: (248) 430-0594
Approximate (ZIP-level) locationGet directions
Mailing address
26555 Evergreen Rd Ste 870
Southfield, MI 48076-4239
Registry dates
- Enumerated
- 2024-06-08
- Last updated
- 2024-06-08
- Certified
- 2024-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.