Organization
HAUSCHILD PSYCHOLOGICAL & COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JEFFREY HAUSCHILD PSY.D. (PRESIDENT)
(260) 471-8033
Entity
Organization
Contact information
Practice address
1910 SAINT JOE CENTER RD, SUITE 44, FORT WAYNE, IN 46825-5000
(260) 471-8033
(260) 471-8107
Mailing address
1910 SAINT JOE CENTER RD, SUITE 44, FORT WAYNE, IN 46825-5000
(260) 471-8033
(260) 471-8107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040731A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000181123
ANTHEM BCBS
IN
Enumeration date
02/26/2007
Last updated
08/22/2020
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