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Contact Information

KASSIDY HASLACKER, PSYCHOLOGIST
204 JEFFERSON AVENUE
GRANT COUNTY BOARD OF EDUCATION
PETERSBURG, WV26847
 Phone: 304-267-3595
 Fax: 304-267-3599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KASSIDY HASLACKER · (Female)

NPI # 1942667993
Status Active
Credentials PSYCHOLOGIST
Entity Individual
Enumeration date 01/21/2016
Last updated 01/21/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 22064
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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