Doctor Name: | MEGAN HAGEMASTER |
NPI Number: | 1316328859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 149.017594 |
Business Practice Address: | 15419 E 127th St Lemont, IL - 604396494 |
Business Phone Number: | 6307777113 |
Business Fax Number: | |
Mailing Address: | 17150 S Mccarron Rd, HOMER GLEN |
State: | IL |
Postal Code: | 604918251 |
Phone Number: | 7087692689 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2015 |
NPI Last Update Date: | 06/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.017594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |