Provider Demographics
NPI:1346510369
Name:HAUSER, SHALENA NATASHA (BSW)
Entity Type:Individual
Prefix:MS
First Name:SHALENA
Middle Name:NATASHA
Last Name:HAUSER
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 BIRDSONG LN STE 104
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-3161
Mailing Address - Country:US
Mailing Address - Phone:910-494-8317
Mailing Address - Fax:
Practice Address - Street 1:314 S MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-3200
Practice Address - Country:US
Practice Address - Phone:910-878-1963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program