Provider Demographics
NPI:1558697391
Name:HAGER, NANCY L (MS, SLP-CCC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:L
Last Name:HAGER
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CHAMBER PLAZA
Mailing Address - Street 2:DIVERSIFIED HUMAN SERVICES, INC.
Mailing Address - City:CHARLEROI
Mailing Address - State:PA
Mailing Address - Zip Code:15022
Mailing Address - Country:US
Mailing Address - Phone:724-489-8096
Mailing Address - Fax:724-483-9373
Practice Address - Street 1:301 CHAMBER PLAZA
Practice Address - Street 2:DIVERSIFIED HUMAN SERVICES, INC.
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022
Practice Address - Country:US
Practice Address - Phone:724-489-8096
Practice Address - Fax:724-483-9373
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003433L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0014925550004OtherEI PROMISE