Provider Demographics
NPI:1740684877
Name:HAZEL, SASHEEN (PSYD)
Entity type:Individual
Prefix:DR
First Name:SASHEEN
Middle Name:
Last Name:HAZEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 PARK ST STE 201B
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-3738
Mailing Address - Country:US
Mailing Address - Phone:617-631-8754
Mailing Address - Fax:617-860-4082
Practice Address - Street 1:1214 PARK ST STE 201B
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-3738
Practice Address - Country:US
Practice Address - Phone:617-631-8754
Practice Address - Fax:617-860-4082
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
MA10589103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist