| Doctor Name: | DR. PAUL DOUGLAS HAUCK |
| NPI Number: | 1033103619 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD. |
| License Number: | 6689 |
| Business Practice Address: | 60mdg/sgohh 101 Bodin Cir Travis Afb, CA - 94535 |
| Business Phone Number: | 7074235174 |
| Business Fax Number: | |
| Mailing Address: | 5070 Adalis Dr, ELK GROVE |
| State: | CA |
| Postal Code: | 957586778 |
| Phone Number: | 9163929970 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 6689 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |