Provider Demographics
NPI:1154499424
Name:HASS, NORAH K (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NORAH
Middle Name:K
Last Name:HASS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 RUMFORD AVE
Mailing Address - Street 2:CHILDREN'S CHARTER
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-3872
Mailing Address - Country:US
Mailing Address - Phone:781-894-4325
Mailing Address - Fax:781-894-1195
Practice Address - Street 1:77 RUMFORD AVE
Practice Address - Street 2:CHILDREN'S CHARTER
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-3872
Practice Address - Country:US
Practice Address - Phone:781-894-4325
Practice Address - Fax:781-894-1195
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8664103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical