Kimberly Marie Hagan in Fullerton - Clinical
Kimberly Marie Hagan - NPI 1861584922
Kimberly Marie Hagan is a Clinical in Fullerton, California. Kimberly Marie Hagan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberly Marie Hagan is 1861584922. The last update date is 2007-07-08.
Kimberly Marie Hagan's current location address is 2228 N State College Blvd, Fullerton, California. You can contact this provider via phone number 7149900700 and fax number 7149900142. The mailing address for Kimberly Marie Hagan is 2228 N State College Blvd, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Marie Hagan |
|---|---|
| Address | 2228 N State College Blvd, Fullerton, California |
| Phone Number | 7149900700 |
| Fax Number | 7149900142 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1861584922 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2228 N State College Blvd |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 92831 |
| Phone Number | 7149900700 |
| Fax Number | 7149900142 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY15282 |
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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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What is the unique 10-digit identification code issued to Kimberly Marie Hagan by the Centers for Medicare & Medicaid Services?
The Kimberly Marie Hagan has been assigned the NPI (National Provider Identifier) 1861584922 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Kimberly Marie Hagan is physically located?
The Kimberly Marie Hagan is physically situated at the following address: 2228 N State College Blvd, Fullerton, CA, 92831.
What is Kimberly Marie Hagan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kimberly Marie Hagan'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 Kimberly Marie Hagan receive the assignment of its 1861584922 from the Centers for Medicare & Medicaid Services?
The Kimberly Marie Hagan was issued its 1861584922 by the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date were the details related to Kimberly Marie Hagan most recently updated or revised?
The information pertaining to Kimberly Marie Hagan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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