Provider Demographics
NPI:1932979499
Name:HAGER, PATRICIA (TRICIA) (PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA (TRICIA)
Middle Name:
Last Name:HAGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:TRICIA
Other - Middle Name:
Other - Last Name:HAGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4963 NE GOODVIEW CIR STE C
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-2491
Mailing Address - Country:US
Mailing Address - Phone:660-441-1424
Mailing Address - Fax:
Practice Address - Street 1:4963 NE GOODVIEW CIR STE C
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-2491
Practice Address - Country:US
Practice Address - Phone:816-209-7716
Practice Address - Fax:816-477-3026
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016008725103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical