Provider Demographics
NPI:1669510558
Name:HAGER, MAHSHID FASHANDI (MFT)
Entity Type:Individual
Prefix:MRS
First Name:MAHSHID
Middle Name:FASHANDI
Last Name:HAGER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11858 BERNARDO PLAZA CT
Mailing Address - Street 2:STE 210
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2439
Mailing Address - Country:US
Mailing Address - Phone:858-779-4881
Mailing Address - Fax:
Practice Address - Street 1:11858 BERNARDO PLAZA CT
Practice Address - Street 2:STE 210
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2439
Practice Address - Country:US
Practice Address - Phone:858-779-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist