Provider Demographics
NPI:1891287041
Name:HASS, EMILY MAY (BS IN PSYCHOLOGY)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:MAY
Last Name:HASS
Suffix:
Gender:F
Credentials:BS IN PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 WILLISTON RD
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-1516
Mailing Address - Country:US
Mailing Address - Phone:952-737-6900
Mailing Address - Fax:
Practice Address - Street 1:3500 WILLISTON RD
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-1516
Practice Address - Country:US
Practice Address - Phone:952-737-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-04
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician