Provider Demographics
NPI:1851199723
Name:HASTING, ERIC KENDAL (RADT)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:KENDAL
Last Name:HASTING
Suffix:
Gender:
Credentials:RADT
Other - Prefix:
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RADT
Mailing Address - Street 1:10898 BOESSOW RD
Mailing Address - Street 2:
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-8451
Mailing Address - Country:US
Mailing Address - Phone:925-794-9071
Mailing Address - Fax:
Practice Address - Street 1:10898 BOESSOW RD
Practice Address - Street 2:
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-8451
Practice Address - Country:US
Practice Address - Phone:925-794-9071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)