Individual
DAVID S TAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1020 HITT STREET, 4TH FLOOR, COLUMBIA, MO 65201-9999
(573) 882-1483
Mailing address
401 W BROADWAY, COLUMBIA, MO 65203-3366
(573) 864-2896
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2010036612
MO
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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