| Doctor Name: | MR. GRANT R HASTY |
| NPI Number: | 1053509737 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | Q10000765 |
| Business Practice Address: | 3135 Summit Bridge Rd Bear, DE - 197012001 |
| Business Phone Number: | 3024640515 |
| Business Fax Number: | 3024547274 |
| Mailing Address: | 34 Dalton Dr, NEWARK |
| State: | DE |
| Postal Code: | 197022059 |
| Phone Number: | 3022758577 |
| Fax Number: | 3024547274 |
| NPI Enumeration Date: | 10/09/2007 |
| NPI Last Update Date: | 02/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | Q10000765 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |