Individual
DR. MARY C HAGELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
708 CHURCH ST, SUITE 251, EVANSTON, IL 60201-3875
(847) 864-6015
Mailing address
708 CHURCH ST, SUITE 251, EVANSTON, IL 60201-3875
(847) 864-6015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004330
IL
Other
Enumeration date
09/16/2005
Last updated
01/10/2012
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