Dr Heather Inga Davis Gahagen, PHD is a
Psychologist - Clinical based in Tifton, Georgia. Dr Heather Inga Davis Gahagen is licensed to practice in Georgia (license number PSY004332) and her current practice location is
1824 Ridge Ave N, Tifton, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 391-6080.
NPI number for Dr Heather Inga Davis Gahagen is 1144861121 and her current mailing address is 1824 Ridge Ave N, Tifton, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144861121.
Healthcare Provider's Profile
| Full Name | Dr Heather Inga Davis Gahagen |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1824 Ridge Ave N, Tifton, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144861121
- Provider Enumeration Date: 10/01/2019
- Last Update Date: 10/01/2019
Medical Identifiers
Medical identifiers for Dr Heather Inga Davis Gahagen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144861121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY004332 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Heather Inga Davis Gahagen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Heather Inga Davis Gahagen, PHD
1824 Ridge Ave N,
Tifton, GA 31794-3441
Ph: (229) 391-6080 | Dr Heather Inga Davis Gahagen, PHD
1824 Ridge Ave N,
Tifton, GA 31794-3441
Ph: (229) 391-6080 |
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