Individual
DR. JOANNE L. HAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9 OLD CASTLE RD, YARMOUTH PORT, MA 02675-1535
(508) 362-0030
(508) 362-0030
Mailing address
PO BOX 12, YARMOUTH PORT, MA 02675-0012
(508) 362-0030
(508) 362-0030
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1822
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1822
MASS. PSYCHOLOGY LICENSE
MA
01
—
W02260
BCBS OF MA PROVIDER #
MA
Enumeration date
01/25/2007
Last updated
07/08/2007
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