| Cynthia Hauser Lcsw Llc | |
|
4600 E Shea Blvd Ste 200 Phoenix AZ 85028-6058 | |
| (480) 313-0020 | |
| Not Available |
| Full Name | Cynthia Hauser Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4600 E Shea Blvd Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | Cynthia Hauser (OWNER) |
| Authorized Official Contact | 4803130020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Hauser Lcsw Llc 901 E Berridge Ln Phoenix AZ 85014-1909 Ph: () - | Cynthia Hauser Lcsw Llc 4600 E Shea Blvd Ste 200 Phoenix AZ 85028-6058 Ph: (480) 313-0020 |
| NPI Number | 1659980894 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Certification Date | 07/23/2020 |
| Medicare PECOS PAC ID | 0840614756 |
|---|---|
| Medicare Enrollment ID | O20200724002275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659980894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cynthia Hauser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417405523 PECOS PAC ID: 7618206905 Enrollment ID: I20190911003777 |
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