Individual
JENNIFER K HASAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
777 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8705
(314) 569-0655
(314) 569-0605
Mailing address
313 ALTUS PL, KIRKWOOD, MO 63122-5402
(314) 965-6311
(314) 569-0605
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
R0021
MO
Other
Enumeration date
11/28/2005
Last updated
07/09/2007
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