Doctor Name: | MS. JOAN M HASPER |
NPI Number: | 1730255761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,LP |
License Number: | 3718 |
Business Practice Address: | 5009 Excelsior Blvd Suite 134 St Louis Park, MN - 554163041 |
Business Phone Number: | 9529250109 |
Business Fax Number: | 9529254103 |
Mailing Address: | 3712 Wooddale Ave S, Unit 7 ST LOUIS PARK |
State: | MN |
Postal Code: | 554165165 |
Phone Number: | 9529413297 |
Fax Number: | 9529291119 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 10/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 3718 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |