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Individual

DR. PAUL DOUGLAS HAUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD.

Contact information

Practice address
60MDG/SGOHH, 101 BODIN CIR, TRAVIS AFB, CA 94535
(707) 423-5174
Mailing address
5070 ADALIS DR, ELK GROVE, CA 95758-6778
(916) 392-9970

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6689
CA

Other

Enumeration date
09/09/2005
Last updated
07/08/2007
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