Provider Demographics
NPI:1972294734
Name:HASSELHAN, RACHAEL (BSC (PSYCH), MED)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:HASSELHAN
Suffix:
Gender:F
Credentials:BSC (PSYCH), MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 VAN REED RD APT D11
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1096
Mailing Address - Country:US
Mailing Address - Phone:610-823-1817
Mailing Address - Fax:
Practice Address - Street 1:1904 VAN REED RD APT D11
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1096
Practice Address - Country:US
Practice Address - Phone:610-823-1817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional