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Individual

DR. JOANNE L. HAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

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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