| Doctor Name: | DREVIS L HAGER |
| NPI Number: | 1902988017 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED D LP |
| License Number: | LP2999 |
| Business Practice Address: | 8085 Wayzata Blvd Suite 101 North St Paul, MN - 554261456 |
| Business Phone Number: | 6517696300 |
| Business Fax Number: | 6517696349 |
| Mailing Address: | 2497 7th Ave E, Suite 101 NORTH ST PAUL |
| State: | MN |
| Postal Code: | 551092496 |
| Phone Number: | 6517696437 |
| Fax Number: | 6517696426 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP2999 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |