Jayne D Hagen
NPI #1770122178 in Berkeley, California
Provider Information
- NPI Number
- 1770122178
- Entity Type
- Organization
- Organization Name
- Jayne D Hagen
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Jan 2, 2020
- Last Updated
- Nov 23, 2020
Practice Location
- Address
- 1213 MASONIC AVE
- City
- Berkeley
- State
- California
- ZIP Code
- 94706-2329
- Phone
- (510) 778-4055
Authorized Official
- Name
- JAYNE D. HAGEN, PHD
- Title
- OWNER
- Phone
- (510) 778-4055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Clinical Neuropsychologist |
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