Provider Demographics
NPI:1235231887
Name:HAGEMAN, CARLIN FROWIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARLIN
Middle Name:FROWIN
Last Name:HAGEMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2931 ABRAHAM DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-6608
Mailing Address - Country:US
Mailing Address - Phone:319-277-5668
Mailing Address - Fax:319-273-6384
Practice Address - Street 1:2931 ABRAHAM DR
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-6608
Practice Address - Country:US
Practice Address - Phone:319-277-5668
Practice Address - Fax:319-273-6384
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00522235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist