Provider Demographics
NPI:1104934900
Name:VOGLER, KATHLEEN MARY (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MARY
Last Name:VOGLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:MARY
Other - Last Name:HOURIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9247 N MERIDIAN ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1879
Mailing Address - Country:US
Mailing Address - Phone:317-815-6030
Mailing Address - Fax:317-815-6031
Practice Address - Street 1:9247 N MERIDIAN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1879
Practice Address - Country:US
Practice Address - Phone:317-815-6030
Practice Address - Fax:317-815-6031
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20041410A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
7393696OtherAETNA
187004463559OtherCORPHEALTH
0001133252OtherMHN
IN000000361991OtherANTHEM
0001133252OtherMHN