Provider Demographics
NPI:1407384258
Name:HASZ, DAWN (LPCA)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:HASZ
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 SKYLARK RD
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-4875
Mailing Address - Country:US
Mailing Address - Phone:270-853-0034
Mailing Address - Fax:
Practice Address - Street 1:1051 N 16TH ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-8511
Practice Address - Country:US
Practice Address - Phone:270-753-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional