Provider Demographics
NPI:1053563890
Name:SHARI L. HOGUE, PH.D., PLLC
Entity type:Organization
Organization Name:SHARI L. HOGUE, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOGUE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:254-383-6063
Mailing Address - Street 1:100 W CENTRAL TEXAS EXPY STE 212
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-7440
Mailing Address - Country:US
Mailing Address - Phone:254-383-6063
Mailing Address - Fax:254-953-3236
Practice Address - Street 1:100 W CENTRAL TEXAS EXPY STE 212
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-7440
Practice Address - Country:US
Practice Address - Phone:254-383-6063
Practice Address - Fax:254-953-3236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31064103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0A6076OtherMEDICARE PTAN