Provider Demographics
NPI:1710097381
Name:HASSELL, FRANCES JULIENNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:JULIENNE
Last Name:HASSELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:HASSELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2628 CLAIRMONT RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-2711
Mailing Address - Country:US
Mailing Address - Phone:404-315-8262
Mailing Address - Fax:
Practice Address - Street 1:2628 CLAIRMONT RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2711
Practice Address - Country:US
Practice Address - Phone:404-315-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA631103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA68BBGDJMedicare Oscar/Certification
GA68BBGDJMedicare ID - Type Unspecified