Individual
MICHELLE R HAUSHEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
3605 SW WINDY WAY AVE, BENTONVILLE, AR 72713-5563
(479) 295-3516
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
04-29570
KS
2084P0800X
Psychiatry Physician
Primary
04-29570
KS
2084P0804X
Child & Adolescent Psychiatry Physician
04-29570
KS
2084P0804X
Child & Adolescent Psychiatry Physician
E-6923
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104222
INDIV ID NUMBER BCBS
KS
01
—
111102
BCBS OF KS
KS
Enumeration date
03/02/2006
Last updated
05/13/2024
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