KASSIDY HASLACKER (NPI# 1942667993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942667993 |
| Entity Type | Individual |
| Full Name | KASSIDY HASLACKER |
| Credential | PSYCHOLOGIST |
| Practice Address |
204 Jefferson Avenue Grant County Board of Education Petersburg WV 26847 |
| Practice Telephone | 3042673595 |
| Practice Fax Number | 3042673599 |
| Mailing Telephone | 3042673595 |
| Mailing Fax Number | 3042673599 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
22064 | WV | Behavioral Health & Social Service Providers |
| Street Address |
204 JEFFERSON AVENUE GRANT COUNTY BOARD OF EDUCATION |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1932647815 | Misty Corbin | Registered Nurse | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2017-02-10 |
| 1619210093 | Danielle R. Thorne | Speech-Language Pathologist | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2013-04-03 |
| 1780926311 | Jennifer R. Daugherty | Registered Nurse | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2013-03-21 |
| 1720381379 | Kellan Alise Miller | Speech-Language Pathologist | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2010-12-20 |
| 1568772317 | Ellen I Kirby | Registered Nurse | 204 Jefferson Avenue, Grant County Board of Eduction, Petersburg, WV 26847 | 2010-10-14 |
| 1619204765 | Wendy Deicas | Speech-Language Pathologist | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2009-11-11 |
| 1225275118 | Angela Cosner | Registered Nurse | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| 1245421312 | Grant Memorial Hospital Home Infusion Therapy Services | Pharmacy | Rt 4 and 28, Petersburg, WV 26847 | 2007-08-05 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255648986 | Norman E Hall | Psychologist | 204 Jefferson Ave, Grant County Board of Education, Petersburg, WV 26847 | 2010-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1124570957 | Katie Hamm | Psychologist | 50 Underwood Cir, Mount Zion, WV 26151-8556 | 2016-10-27 |
| 1669922092 | Jonathan Shank | Psychologist | 813 Capitol St, Spencer, WV 25276-1924 | 2016-10-10 |
| 1255881082 | Lisha Tignor | Psychologist | 98 Carter Braxton Dr, Sutton, WV 26601-9592 | 2016-10-05 |
| 1437606068 | Tiffany Yancey | Psychologist | 197 Chestnut Street, Greenbrier County Schools, Lewisburg, WV 24901 | 2016-09-01 |
| 1831645647 | Rachel Hendricks | Psychologist | 400 Old Main Drive, Nicholas County Schools, Summersville, WV 26651 | 2016-08-31 |
| 1811355597 | New Beginnings Therapy Services, LLC | Psychologist | 220 S Walker St Ste A, Princeton, WV 24740-2747 | 2016-02-09 |
| 1104291681 | Ashley Booten | Psychologist | 501 22nd St, Dunbar, WV 25064-1711 | 2015-12-09 |
| 1871998500 | Natalie Campbell | Psychologist | 275 Business Park Dr., Kenna, WV 25248 | 2014-10-23 |
| 1669875738 | Joe Testa | Psychologist | 34 Dorothy Ave, Wheeling, WV 26003-5217 | 2014-10-03 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
Please comment or provide details below to improve the information on KASSIDY HASLACKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.