Doctor Name: | DAVID PAUL HAERTNER |
NPI Number: | 1033201843 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.P.C. |
License Number: | 14710 |
Business Practice Address: | 1613 Avenue K Suite 109 Hondo, TX - 788611800 |
Business Phone Number: | 8304261193 |
Business Fax Number: | 8304264995 |
Mailing Address: | Po Box 943, HONDO |
State: | TX |
Postal Code: | 788610943 |
Phone Number: | 8304261193 |
Fax Number: | 8304264995 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 05/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 14710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |