Individual
MARC W HAUT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 598-4214
(304) 293-6963
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
499
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163397000
—
WV
Enumeration date
02/10/2006
Last updated
07/08/2007
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