Individual
KRISTIAN HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
94-1065 HAHANA ST, WAIPAHU, HI 96797-2730
(951) 532-8207
Mailing address
94-1065 HAHANA ST, WAIPAHU, HI 96797-2730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1254
HI
235Z00000X
Speech-Language Pathologist
16079
CA
235Z00000X
Speech-Language Pathologist
Primary
2202005844
VA
Other
Enumeration date
09/15/2010
Last updated
11/01/2012
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