Individual
RODERICK J HAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9 JAMESON DR, MILLIS, MA 02054-0108
(240) 475-4884
Mailing address
9 JAMESON DR, MILLIS, MA 02054-0108
(240) 475-4884
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2771
WI
103TC0700X
Clinical Psychologist
Primary
PSY10000261
MA
2084P0800X
Psychiatry Physician
2771
WI
Other
Enumeration date
12/17/2008
Last updated
07/18/2024
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