Stanley Gordon Hogsett, ED.D.
Individual provider Active NPI Clinical Psychologist · Danville, IL
NPI 1992804538 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992804538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Practice address
- 1900 East Main St.
Danville, IL 61832 - Phone
- (217) 554-4188
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071001814 | IL | MD | Clinical Psychologist |
| 20040204A | IN | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20040204A | IN | |
| Clinical Psychologist | 103TC0700X | IL | Yes |
Addresses
Primary practice location
1900 East Main St.
Danville, IL 61832
Mailing address
1900 East Main St.
Danville, IL 61832
Phone (217) 554-4188
Other providers in Danville, IL
- Erika Hiser
- Hanna Elizabeth Hobson
- Lachaka Hobson
- Sherraun M Hodges
- Karolina Hodurek
- Deanne Holste
- Hook-Superx LLC
- Hoopeston Community Memorial Hospital
- Hope Counseling, Inc.
- Samantha Renee Horatschki
All providers in Danville, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.