Individual
DR. KAREN JO HASKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
708 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 873-1958
(757) 873-2143
Mailing address
708 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 873-1958
(757) 873-2143
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810001067
VA
103G00000X
Clinical Neuropsychologist
0904
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043272
VALUE OPTIONS
VA
01
—
259180
ANTHEM BLUECROSS/BLUE SHI
VA
01
—
4630404
AETNA
VA
Enumeration date
07/07/2006
Last updated
07/08/2007
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