Healthcare Provider Details

I. General information

NPI: 1659586980
Provider Name (Legal Business Name): CLARA H MENUHIN-HAUSER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 LADYS ISLAND DR
BEAUFORT SC
29907-1643
US

IV. Provider business mailing address

152 SPANISH POINT DR
BEAUFORT SC
29902-6126
US

V. Phone/Fax

Practice location:
  • Phone: 843-575-3813
  • Fax:
Mailing address:
  • Phone: 843-524-7233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number4668
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: