Dr. Paul Douglas Hauck
Clinical Child & Adolescent Psychologist
60mdg/sgohh 101 Bodin Cir
Travis Afb
, California 94535
Dr. Paul Douglas Hauck
Clinical Child & Adolescent Psychologist
60mdg/sgohh 101 Bodin Cir
Travis Afb
, California 94535
(916) 392-9970
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Paul Douglas Hauck
- 5070 Adalis Dr
- Elk Grove, CA
- Zip : 95758-6778
- Phone : (916) 392-9970
Second Address
- Dr. Paul Douglas Hauck
- 60mdg/sgohh 101 Bodin Cir
- Travis Afb, CA
- Zip : 94535
- Phone : (707) 423-5174
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 6689 | CA |
National Provider Identifier
| NPI | 1033103619 |
|---|---|
| Provider Name | Dr. Paul Douglas Hauck |
| First Address | Elk Grove, CA 95758-6778 |
| Second Address | Travis Afb, CA 94535 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/09/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.