Individual
NANCY HAGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
(602) 323-3399
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4392
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
809248
—
AZ
Enumeration date
04/29/2013
Last updated
05/02/2018
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