Individual
HOLLY HAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA, HSP-PA
Contact information
Practice address
1905 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4509
(336) 413-1978
Mailing address
1905 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4509
(336) 413-1978
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5533
NC
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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