Individual
JASON DAVID HANGAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
880 6TH ST S STE 410, ST PETERSBURG, FL 33701-4825
(727) 767-8035
(727) 767-4765
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9268
FL
103TS0200X
School Psychologist
PY9268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AVLUD
BCBS
FL
Enumeration date
09/04/2007
Last updated
01/18/2018
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