Provider Demographics
NPI:1417761883
Name:HASSELL, DORIS M (RDN)
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:M
Last Name:HASSELL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 S SNEAD ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-1812
Mailing Address - Country:US
Mailing Address - Phone:804-357-7723
Mailing Address - Fax:
Practice Address - Street 1:116 S SNEAD ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-1812
Practice Address - Country:US
Practice Address - Phone:804-357-7723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
679947133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered