Provider Demographics
NPI:1770907875
Name:HASSELL, MADELAINE
Entity type:Individual
Prefix:MS
First Name:MADELAINE
Middle Name:
Last Name:HASSELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 GALLEON DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-8508
Mailing Address - Country:US
Mailing Address - Phone:302-368-5726
Mailing Address - Fax:
Practice Address - Street 1:208 GALLEON DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-8508
Practice Address - Country:US
Practice Address - Phone:302-368-5726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst