Healthcare Provider Details

I. General information

NPI: 1568308823
Provider Name (Legal Business Name): CHILD AND ADOLESCENT PSYCHIATRY, PAULA HASENAUER, PMHNP P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1534 KINGS HWY STE B
SWEDESBORO NJ
08085-1212
US

IV. Provider business mailing address

1534 KINGS HWY STE B
SWEDESBORO NJ
08085-1212
US

V. Phone/Fax

Practice location:
  • Phone: 856-832-4020
  • Fax: 856-832-4036
Mailing address:
  • Phone: 856-832-4020
  • Fax: 856-832-4036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PAULA HASENAUER
Title or Position: OWNER
Credential: NP
Phone: 609-413-1900