Individual
CRAIG JOHN HAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MALLP
Contact information
Practice address
1555 INDUSTRIAL DR, OWOSSO, MI 48867-9775
(989) 723-6791
(989) 725-5061
Mailing address
PO BOX 428, OWOSSO, MI 48867-0428
(989) 723-6791
(989) 725-5061
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0995785
HEALTH PLUS
MI
01
—
62022285
UBH
—
01
—
P10G81020
BCBS
MI
Enumeration date
09/07/2005
Last updated
01/30/2008
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