Provider Demographics
NPI:1730255571
Name:HASEMANN, DAWN (PHD)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:HASEMANN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39400 PASEO PADRE PKWY
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2310
Mailing Address - Country:US
Mailing Address - Phone:510-248-3060
Mailing Address - Fax:510-248-3551
Practice Address - Street 1:39400 PASEO PADRE PKWY
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2310
Practice Address - Country:US
Practice Address - Phone:510-248-3060
Practice Address - Fax:510-248-3551
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16370103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist