Jayne D. Hagen is a Clinical in Berkeley, California. Jayne D. Hagen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jayne D. Hagen is 1104087071. The last update date is 2020-10-29.
Jayne D. Hagen's current location address is 1213 Masonic Ave, Berkeley, California. You can contact this provider via phone number 5107784055. The mailing address for Jayne D. Hagen is 1213 Masonic Ave, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jayne D. Hagen |
|---|---|
| Address | 1213 Masonic Ave, Berkeley, California |
| Phone Number | 5107784055 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1104087071 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2020-10-29 |
Provider Mailing Address Detail
| Address | 1213 Masonic Ave |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947062329 |
| Phone Number | 5107784055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY22689 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jayne D. Hagen?
The Jayne D. Hagen has been issued the NPI (National Provider Identifier) 1104087071 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jayne D. Hagen is geographically located?
The Jayne D. Hagen is physically situated at the following location: 1213 Masonic Ave, Berkeley, CA, 947062329.
What is Jayne D. Hagen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jayne D. Hagen's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104087071 to Jayne D. Hagen?
The Centers for Medicare & Medicaid Services originally issued the 1104087071 to Jayne D. Hagen on 2008-06-23.
When was the information pertaining to Jayne D. Hagen most recently updated or revised?
The details related to Jayne D. Hagen, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-29.
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