Provider Demographics
NPI:1376045203
Name:HASSETT, RONALD
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:HASSETT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 DOUGLAS BLVD STE 992
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3639
Mailing Address - Country:US
Mailing Address - Phone:916-784-3500
Mailing Address - Fax:916-784-9001
Practice Address - Street 1:1850 DOUGLAS BLVD STE 992
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3639
Practice Address - Country:US
Practice Address - Phone:916-784-3500
Practice Address - Fax:916-784-9001
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA8313237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist