| Doctor Name: | SUSANNE S HASEMAN |
| NPI Number: | 1124235601 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCMHC |
| License Number: | 068-0000680 |
| Business Practice Address: | 300 Paget Rd Cornish, NH - 037454302 |
| Business Phone Number: | 6036752678 |
| Business Fax Number: | 6036759176 |
| Mailing Address: | 300 Paget Rd, CORNISH |
| State: | NH |
| Postal Code: | 037454302 |
| Phone Number: | 6036752678 |
| Fax Number: | 6036759176 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 068-0000680 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |