Provider Demographics
NPI:1144844721
Name:HAFLING MAGERS, DAWN ANNE (LSSP, ED DIAG)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ANNE
Last Name:HAFLING MAGERS
Suffix:
Gender:F
Credentials:LSSP, ED DIAG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3234 HAWTHORNE
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6423
Mailing Address - Country:US
Mailing Address - Phone:803-885-1623
Mailing Address - Fax:
Practice Address - Street 1:3234 HAWTHORNE
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6423
Practice Address - Country:US
Practice Address - Phone:803-885-1623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-30
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31508103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool