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NPI Code Detail

MEDICARE: ROBIN SIOBHAN HAUSSERMAN LCSW

MEDICARE: ROBIN SIOBHAN HAUSSERMAN LCSW
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
11041C0700XClinical Social Worker100159CA

General Provider Information

NPI Number : 1326703521
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN SIOBHAN HAUSSERMAN LCSW
Provider Business Mailing Address
First Line : 438 EDDIE LN
Second Line :
City : SEBASTOPOL
State : CA
Zip : 95472-3425
Country : US
Telephone Number : 707-827-9453
Fax Number :
Provider Business Practice Location Address
First Line : 438 EDDIE LN
Second Line :
City : SEBASTOPOL
State : CA
Zip : 95472-3425
Country : US
Telephone Number : 707-324-9774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2021
Last Update Date : 11/02/2021

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Directions to “ ROBIN SIOBHAN HAUSSERMAN LCSW” Practice Location

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