Hagen, Jayne D.

Hagen, Jayne D. is an individual health care provider with primary practice located at 1213 Masonic Ave , Berkeley CA 94706. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Hagen, Jayne D. can be contacted via phone (510) 778-4055.

Contact Information

Primary practice address
1213 Masonic Ave Berkeley CA 94706
Phone: (510) 778-4055
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY22689 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY22689 California

Profile Details

NPI number 1104087071
LBN Legal business name Hagen, Jayne D.
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Oct 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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