Provider Demographics
NPI:1841391703
Name:VOGEL, DEANIE (PHD)
Entity type:Individual
Prefix:DR
First Name:DEANIE
Middle Name:
Last Name:VOGEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5368 FREDERICKSBURG RD
Mailing Address - Street 2:STE. 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6108
Mailing Address - Country:US
Mailing Address - Phone:210-349-0096
Mailing Address - Fax:210-349-0097
Practice Address - Street 1:5368 FREDERICKSBURG RD
Practice Address - Street 2:STE. 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6108
Practice Address - Country:US
Practice Address - Phone:210-349-0096
Practice Address - Fax:210-349-0097
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17340235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87866T;8T1909OtherBCBS PROVIDER NOS.