MEDICARE: KRISTINA HAUS LMFT

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	35001881A	IN

General Provider Information

NPI Number	:	1770965592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA HAUS LMFT

Provider Business Mailing Address
First Line	:	3125 DANDY TRL
Second Line	:	#240
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-1459
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3125 DANDY TRL
Second Line	:	#240
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-1459
Country	:	US
Telephone Number	:	317-272-5247
Fax Number	:

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

Provider Enumeration Date	:	06/29/2015
Last Update Date	:	06/29/2015

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Directions to “ KRISTINA HAUS LMFT” Practice Location

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