Individual
PAUL A HAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA PSY-MASTER
Contact information
Practice address
300 FLYNN AVE, BURLINGTON, VT 05401-5301
(802) 658-0400
Mailing address
3314 SPEAR ST # A, CHARLOTTE, VT 05445-9204
(802) 864-8092
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
047-0000620
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007290
—
VT
Enumeration date
07/06/2006
Last updated
07/08/2007
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