DR. EVAN S KOGAN


Address: 614 Kewanna Ave, Pittsburgh, PA 15234-1203
Phone: 4125610708

DR. EVAN S KOGAN (NPI# 1194884593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194884593
Entity Type Individual
Full Name DR. EVAN S KOGAN
Credential PH.D.
Practice Address 614 Kewanna Ave
Pittsburgh
PA 15234-1203
Practice Telephone 4125610708
Mailing Telephone 4125610708
Enumeration Date 2006-12-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS015611 PA Behavioral Health & Social Service Providers

Office Location

Street Address 614 KEWANNA AVE
City PITTSBURGH
State PA
Zip Code 15234-1203

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City PITTSBURGH
Zip Code 15234

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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