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NPI Code Detail

MEDICARE: DR. NORAH K HASS PSY.D.

MEDICARE:  DR. NORAH K HASS  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist8664MA

General Provider Information

NPI Number : 1154499424
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORAH K HASS PSY.D.
Provider Business Mailing Address
First Line : 77 RUMFORD AVE KEY PROGRAM
Second Line :
City : WALTHAM
State : MA
Zip : 02453-3872
Country : US
Telephone Number : 781-894-4325
Fax Number : 781-894-1195
Provider Business Practice Location Address
First Line : 361 MASSACHUSETTS AVE
Second Line :
City : ARLINGTON
State : MA
Zip : 02474-6745
Country : US
Telephone Number : 617-388-4967
Fax Number : 781-894-1195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2006
Last Update Date : 05/22/2026

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