Provider Demographics
NPI:1972165462
Name:WILLIAM D HASEK PHD PC
Entity Type:Organization
Organization Name:WILLIAM D HASEK PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HASEK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-725-8074
Mailing Address - Street 1:220 1/2 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3755
Mailing Address - Country:US
Mailing Address - Phone:410-725-8074
Mailing Address - Fax:
Practice Address - Street 1:307 4TH AVE STE 1100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2107
Practice Address - Country:US
Practice Address - Phone:412-218-0474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-03
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1730635921OtherNPI