Doctor Name: | JEAN E HAGER |
NPI Number: | 1124141593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | .,L.C.S.W.,L.C.A.D.C |
License Number: | 44SC00359100 |
Business Practice Address: | 776 Shrewsbury Ave Suite 204 Tinton Falls, NJ - 077243006 |
Business Phone Number: | 7327472055 |
Business Fax Number: | 7327476155 |
Mailing Address: | 776 Shrewsbury Ave, Suite 204 TINTON FALLS |
State: | NJ |
Postal Code: | 077243006 |
Phone Number: | 7327472055 |
Fax Number: | 7327476155 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC00359100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |