Provider Demographics
NPI:1396969028
Name:HASSLER, SHAWN DAVID (MA)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:DAVID
Last Name:HASSLER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5908 LYONS VIEW
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919
Mailing Address - Country:US
Mailing Address - Phone:865-455-3369
Mailing Address - Fax:
Practice Address - Street 1:5908 LYONS VIEW PIKE
Practice Address - Street 2:PSYCHOLOGY
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-7520
Practice Address - Country:US
Practice Address - Phone:865-455-3369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE1186103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical