Basic Information
| Provider Information | |||||||||
| NPI: | 1760786255 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAUCK | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1430 TULANE AVE # 8055 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885405 | ||||||||
| FaxNumber: | 5049884264 | ||||||||
| Practice Location | |||||||||
| Address1: | 131 S ROBERTSON ST | ||||||||
| Address2: | 14 FLOOR | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885405 | ||||||||
| FaxNumber: | 5049884264 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2010 | ||||||||
| LastUpdateDate: | 06/14/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103G00000X | 707 | LA | Y | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | 103TC0700X | 707 | LA | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC2200X | 707 | LA | N | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent |
No ID Information.