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NPI Code Detail

MEDICARE: CHRISTINA KAY HAGYARD

MEDICARE:   CHRISTINA KAY HAGYARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior Analyst7401001378MI
31041C0700XClinical Social Worker
4156F00000XTechnician/Technologist

General Provider Information

NPI Number : 1922526201
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA KAY HAGYARD
Provider Business Mailing Address
First Line : 1570 SUNCREST DR
Second Line :
City : LAPEER
State : MI
Zip : 48446-1154
Country : US
Telephone Number : 810-667-0500
Fax Number :
Provider Business Practice Location Address
First Line : 1570 SUNCREST DR
Second Line :
City : LAPEER
State : MI
Zip : 48446-1154
Country : US
Telephone Number : 810-667-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2017
Last Update Date : 05/27/2026

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Directions to “ CHRISTINA KAY HAGYARD ” Practice Location

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