Provider Demographics
NPI:1730255761
Name:HASPER, JOAN M (MA,LP)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:M
Last Name:HASPER
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Gender:F
Credentials:MA,LP
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Mailing Address - Street 1:3712 WOODDALE AVE S
Mailing Address - Street 2:UNIT 7
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5165
Mailing Address - Country:US
Mailing Address - Phone:952-941-3297
Mailing Address - Fax:952-929-1119
Practice Address - Street 1:5009 EXCELSIOR BLVD
Practice Address - Street 2:SUITE 134
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-3041
Practice Address - Country:US
Practice Address - Phone:952-925-0109
Practice Address - Fax:952-925-4103
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2025-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN3718174400000X
MNLP3718103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No174400000XOther Service ProvidersSpecialist