Provider Demographics
NPI:1043878218
Name:HASELEY, ALEXANDRIA CLARICE
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:CLARICE
Last Name:HASELEY
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 1:14255 QUAIL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-5685
Mailing Address - Country:US
Mailing Address - Phone:440-554-3634
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # R4
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0002
Practice Address - Country:US
Practice Address - Phone:216-444-9249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS