Individual
KAREN KAY HASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
80 WEST 78TH STREET, SUITE 227, CHANHASSEN, MN 55317-8721
(952) 934-9175
Mailing address
80 WEST 78TH STREET, SUITE 227, CHANHASSEN, MN 55317-8721
(952) 934-9175
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2671
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57644HA
BLUE CROSS BLUE SHIELD
MN
01
—
68550HA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/05/2007
Last updated
07/08/2007
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