Provider Demographics
NPI:1871453423
Name:VOGLER, JOSH MARTIN
Entity type:Individual
Prefix:
First Name:JOSH
Middle Name:MARTIN
Last Name:VOGLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W CHESTNUT ST STE 524
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2324
Mailing Address - Country:US
Mailing Address - Phone:502-345-0442
Mailing Address - Fax:502-345-0442
Practice Address - Street 1:410 W CHESTNUT ST STE 524
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2324
Practice Address - Country:US
Practice Address - Phone:502-345-0442
Practice Address - Fax:502-345-0442
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty