Provider Demographics
NPI:1730794702
Name:HASELMAN, ABBY
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:HASELMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 FAIRHURST AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-1213
Mailing Address - Country:US
Mailing Address - Phone:419-890-7535
Mailing Address - Fax:
Practice Address - Street 1:4151 TURRILL ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-2218
Practice Address - Country:US
Practice Address - Phone:513-363-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist