Provider Demographics
NPI:1417427782
Name:HOGSETT, KATIE LYNN (MS, CCC, SLP)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:LYNN
Last Name:HOGSETT
Suffix:
Gender:F
Credentials:MS, CCC, SLP
Other - Prefix:MISS
Other - First Name:KATIE
Other - Middle Name:LYNN
Other - Last Name:GRAHEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC, SLP
Mailing Address - Street 1:60 CONNELLSVILLE ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3847
Mailing Address - Country:US
Mailing Address - Phone:724-322-4552
Mailing Address - Fax:
Practice Address - Street 1:60 CONNELLSVILLE ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3847
Practice Address - Country:US
Practice Address - Phone:724-322-4552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD541388500Medicaid
MD905202000Medicaid