Individual
DR. SALLY HAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
397 BRIDGE ST, BROOKLYN, NY 11201-5292
(413) 798-4818
Mailing address
263 ALDEN ST, SPRINGFIELD, MA 01109-3707
(413) 798-4818
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
018544
NY
103TC1900X
Counseling Psychologist
11468
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018544
LICENSED PSYCHOLOGIST, STATE OF NEW YORK
NY
01
—
11468
LICENSED PSYCHOLOGIST,
MA
Enumeration date
05/13/2011
Last updated
04/14/2023
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