Individual
TAMMY K HASLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
334 BLOOMFIELD ST, SUITE 204, JOHNSTOWN, PA 15904-3268
(814) 266-5238
(814) 266-1762
Mailing address
334 BLOOMFIELD ST, SUITE 204, JOHNSTOWN, PA 15904-3268
(814) 266-5238
(814) 266-1762
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008994L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017729510006
—
PA
05
—
0017729510007
—
PA
05
—
1025765450003
—
PA
05
—
1025765450004
—
PA
01
—
331004
HIGHMARK BLUE CROSS
PA
Enumeration date
12/07/2007
Last updated
08/22/2014
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