Individual
DREVIS L HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED D LP
Contact information
Practice address
8085 WAYZATA BLVD, SUITE 101, NORTH ST PAUL, MN 55426-1456
(651) 769-6300
(651) 769-6349
Mailing address
2497 7TH AVE E, SUITE 101, NORTH ST PAUL, MN 55109-2496
(651) 769-6437
(651) 769-6426
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2999
MN
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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