Hangauer, Jason David

Hangauer, Jason David is an individual health care provider with primary practice located at 880 6Th St S Ste 410 , St Petersburg FL 33701-4825. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Hangauer, Jason David can be contacted via phone (727) 767-8035.

Contact Information

Primary practice address
880 6Th St S Ste 410 St Petersburg FL 33701-4825
Fax: (727) 767-4765
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X PY9268 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY9268 Florida

Profile Details

NPI number 1922292887
LBN Legal business name Hangauer, Jason David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2007
Last updated Jan 18th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922292887 NPPES
Florida Other AVLUD BCBS

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