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NPI Code Detail

MEDICARE: MRS. ALLYSON D HAUN MA, LMFT

MEDICARE: MRS. ALLYSON D HAUN MA, 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
1106H00000XMarriage & Family Therapist40534CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14876OTHERCACOUNTY ID

General Provider Information

NPI Number : 1861562241
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALLYSON D HAUN MA, LMFT
Provider Business Mailing Address
First Line : 3 AUGUSTA CT
Second Line :
City : LOS GATOS
State : CA
Zip : 95030-4315
Country : US
Telephone Number : 408-455-9659
Fax Number :
Provider Business Practice Location Address
First Line : 499 LOMA ALTA AVE
Second Line :
City : LOS GATOS
State : CA
Zip : 95030-6227
Country : US
Telephone Number : 408-364-4157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 09/30/2024

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