Provider Demographics
NPI:1154030187
Name:HASER, PIPER DANIELLE (MA, AMFT)
Entity type:Individual
Prefix:
First Name:PIPER
Middle Name:DANIELLE
Last Name:HASER
Suffix:
Gender:F
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SE HARNEY ST SLIP 5A
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-6473
Mailing Address - Country:US
Mailing Address - Phone:213-393-9133
Mailing Address - Fax:
Practice Address - Street 1:5755 MOUNTAIN HAWK DR STE 206
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95409-4451
Practice Address - Country:US
Practice Address - Phone:707-387-5187
Practice Address - Fax:707-230-2196
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA135704106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist