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NPI Code Detail

MEDICARE: DR. RODNEY J HAUG PH.D.

MEDICARE: DR. RODNEY J HAUG PH.D.
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
1103TC0700XClinical Psychologist383WY
2103TC0700XClinical Psychologist149ND
3103TC0700XClinical Psychologist2661CO

General Provider Information

NPI Number : 1124115670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODNEY J HAUG PH.D.
Provider Business Mailing Address
First Line : 1913 ELBA CT
Second Line :
City : WINDSOR
State : CO
Zip : 80550-3566
Country : US
Telephone Number : 307-214-2888
Fax Number :
Provider Business Practice Location Address
First Line : 2321 DUNN AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3214
Country : US
Telephone Number : 307-214-2888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 10/18/2012

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