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Organization

JAYNE D HAGEN

Active
Other names
Neurobehavioral Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
JAYNE D. HAGEN PHD (OWNER)
(510) 778-4055
Entity
Organization

Contact information

Practice address
1213 MASONIC AVE, BERKELEY, CA 94706-2329
(510) 778-4055
Mailing address
1213 MASONIC AVE, BERKELEY, CA 94706-2329
(510) 778-4055

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TC0700X
Clinical Psychologist

Other

Enumeration date
01/02/2020
Last updated
11/23/2020
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