Provider Demographics
NPI:1750618567
Name:HASBROUCK, WHITNEY NEAL (PHD)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:NEAL
Last Name:HASBROUCK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:WHITNEY
Other - Middle Name:LEE
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:88 MDG/SGHJ 4881 SUGAR MAPLE DR.
Mailing Address - Street 2:
Mailing Address - City:WPAFB
Mailing Address - State:OH
Mailing Address - Zip Code:45433
Mailing Address - Country:US
Mailing Address - Phone:937-938-3882
Mailing Address - Fax:
Practice Address - Street 1:2630 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:EIELSON AFB
Practice Address - State:AK
Practice Address - Zip Code:99702-2301
Practice Address - Country:US
Practice Address - Phone:907-377-1847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-16
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1830103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling