Individual
MICHAEL HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1600 W. 38TH STREET, SUITE 306, AUSTIN, TX 78731-6406
(512) 451-9891
Mailing address
1600 W. 38TH STREET, SUITE 306, AUSTIN, TX 78731-6406
(512) 451-9891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J29P
BCBS OF TX
TX
Enumeration date
06/08/2006
Last updated
04/09/2008
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