Provider Demographics
NPI:1174745590
Name:BRENDA P. HASSLER PPS
Entity type:Organization
Organization Name:BRENDA P. HASSLER PPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER SUPREME
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:P
Authorized Official - Last Name:HASSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-455-3369
Mailing Address - Street 1:6208 BAUM DRIVE
Mailing Address - Street 2:SUITE 18
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919
Mailing Address - Country:US
Mailing Address - Phone:854-455-3369
Mailing Address - Fax:865-470-7957
Practice Address - Street 1:6208 BAUM DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-9508
Practice Address - Country:US
Practice Address - Phone:865-455-3369
Practice Address - Fax:865-470-7957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty