Individual
GINA M HAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
611 OLD US HWY 70 E, BLACK MOUNTAIN, NC 28711-9488
(925) 451-3144
(828) 665-7062
Mailing address
PO BOX 263, CANDLER, NC 28715-0263
(925) 451-3144
(828) 665-7062
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3730
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001137
—
NC
Enumeration date
03/16/2009
Last updated
06/23/2015
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