MEDICARE: MS. STEPHANIE CHARLENE HAUN M.S.ED.

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
1	106H00000X	Marriage & Family Therapist	MT2412	FL

General Provider Information

NPI Number	:	1689805848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE CHARLENE HAUN M.S.ED.

Provider Business Mailing Address
First Line	:	1514 SAN IGNACIO AVE
Second Line	:	SUITE 100
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3072
Country	:	US
Telephone Number	:	786-348-5711
Fax Number	:

Provider Business Practice Location Address
First Line	:	1514 SAN IGNACIO AVE
Second Line	:	SUITE 100
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3072
Country	:	US
Telephone Number	:	786-348-5711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	08/05/2009

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