Dr Jack Haney, PHD is a
Psychologist - Clinical Child & Adolescent based in Royston, Georgia. Dr Jack Haney is licensed to practice in Georgia (license number 1193) and his current practice location is
200 Bond St, Ste 122, Royston, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 246-0900.
NPI number for Dr Jack Haney is 1750309944 and his current mailing address is 248 Tanglewood S, Royston, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750309944.
Healthcare Provider's Profile
| Full Name | Dr Jack Haney |
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| Gender | Male |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 200 Bond St, Royston, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750309944
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jack Haney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750309944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 1193 (Georgia) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 1193 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Haney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jack Haney, PHD
248 Tanglewood S,
Royston, GA 30662-8244
Ph: (706) 245-9516 | Dr Jack Haney, PHD
200 Bond St, Ste 122,
Royston, GA 30662-4137
Ph: (706) 246-0900 |
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