Individual
MARIO HASAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 GRAFTON RD, TOWNSHEND, VT 05353
(802) 236-5372
Mailing address
PO BOX 216, TOWNSHEND, VT 05353-0216
(802) 365-3726
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
042-0011143
VT
2084P0800X
Psychiatry Physician
Primary
042-0011143
VT
Other
Enumeration date
05/19/2006
Last updated
01/06/2012
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