Individual
DAVID T HASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
142 HIGH ST STE 517, PORTLAND, ME 04101-2840
(207) 774-5301
(207) 829-3992
Mailing address
142 HIGH STREET RM 517, PORTLAND, ME 04101
(207) 774-5301
(207) 829-3992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS192
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206790000
—
ME
Enumeration date
01/08/2008
Last updated
01/08/2008
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