| NPI | 1578980538 |
|---|---|
| Former Name | STEPHANIE K POGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3861) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 023102) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2020-06-04 |