Individual
DR. SIEGFRIED F HAUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN
Contact information
Practice address
720 HOPMEADOW STREET, SUITE 4, SIMSBURY, CT 06070
(860) 651-8959
Mailing address
155 LAKE DRIVE, HAMMOND LAKE, WILLIAMSBURG, MA 01096
(413) 268-0122
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000036
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000036
MFT LICENSE #
CT
01
—
11628822
CAQH
CT
01
—
410000036CT01
ANTHEM
CT
Enumeration date
05/10/2007
Last updated
07/08/2007
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