| Doctor Name: | DR. MICHELLE HAINESWORTH |
| NPI Number: | 1003059726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | |
| Business Practice Address: | 410 S Maple Ave Greensburg, PA - 156013221 |
| Business Phone Number: | 4127162646 |
| Business Fax Number: | |
| Mailing Address: | 207 Springmont Dr, WYOMISSING |
| State: | PA |
| Postal Code: | 196104014 |
| Phone Number: | 4127162646 |
| Fax Number: | 6107507966 |
| NPI Enumeration Date: | 04/10/2009 |
| NPI Last Update Date: | 03/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |