| Doctor Name: | MR. PAUL MATTHEW HAGANS |
| NPI Number: | 1306043963 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SLP |
| License Number: | KY-2711 |
| Business Practice Address: | 571 Parkway Dr Salyersville, KY - 414659248 |
| Business Phone Number: | 6063496182 |
| Business Fax Number: | 6063495962 |
| Mailing Address: | 399 Shepherd St, PRESTONSBURG |
| State: | KY |
| Postal Code: | 416537707 |
| Phone Number: | 6068863917 |
| Fax Number: | |
| NPI Enumeration Date: | 06/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | KY-2711 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |