Individual
DR. JONATHAN D. HAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
101 DEVANT STREET STE 705, CARNEGIE BEHAVIORAL HEALTH, FAYETTEVILLE, GA 30214-2717
(770) 716-6012
(770) 716-6013
Mailing address
101 DEVANT STREET STE 705, CARNEGIE BEHAVIORAL HEALTH, FAYETTEVILLE, GA 30214-2717
(770) 716-6012
(770) 716-6013
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
002374
GA
103TC0700X
Clinical Psychologist
Primary
GA002374
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000857095B
—
GA
Enumeration date
07/25/2006
Last updated
03/04/2009
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