Hasson Psychological Group Llc | |
185 Engle St Fl 2 Englewood NJ 07631-2409 | |
(201) 568-1111 | |
(201) 568-1855 |
Full Name | Hasson Psychological Group Llc |
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Speciality | Clinical Neuropsychologist |
Location | 185 Engle St Fl 2, Englewood, New Jersey |
Authorized Official Name and Position | Charles Stewart Hasson (LIC. PSYCHOLOGIST OWNER) |
Authorized Official Contact | 2015681111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hasson Psychological Group Llc 185 Engle St Fl 2 Englewood NJ 07631-2409 Ph: (201) 568-1111 | Hasson Psychological Group Llc 185 Engle St Fl 2 Englewood NJ 07631-2409 Ph: (201) 568-1111 |
NPI Number | 1730118571 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 04/10/2012 |
Medicare PECOS PAC ID | 4688687114 |
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Medicare Enrollment ID | O20060728000126 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730118571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 2493 (New Jersey) | Primary |
Provider Name | Charles S Hasson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548209034 PECOS PAC ID: 8527014117 Enrollment ID: I20100909001121 |
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