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Individual

DR. PETER DANIEL HAUGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
353 FERST DR NW, ATLANTA, GA 30318-5602
(404) 895-9181
Mailing address
401 17TH ST NW APT 5301, ATLANTA, GA 30363-1043

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TC0700X
Clinical Psychologist
Primary
PSY004334
GA
103TC1900X
Counseling Psychologist
PSY004334
GA

Other

Enumeration date
06/09/2016
Last updated
06/25/2020
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