Individual
DR. DERRICK LAWRENCE HASSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3624 216TH ST, MATTESON, IL 60443-2713
(815) 274-4879
Mailing address
6601 WEST COLLEGE DRIVE, VANDER VELDE HALL, PALOS HEIGHTS, IL 60463
(708) 239-4862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.010878
IL
101YM0800X
Mental Health Counselor
39003117A
IN
Other
Enumeration date
06/19/2013
Last updated
11/16/2018
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