Individual
DR. MARCIA SUSAN HAUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15961 N FLORIDA AVE, SUITE A, LUTZ, FL 33549-8101
(813) 931-2850
Mailing address
3705 W TACON ST, TAMPA, FL 33629-6943
(813) 931-2850
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00003504
FL
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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