Doctor Name: | MS. LISA C. HAUPTNER |
NPI Number: | 1396953550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 12299 |
Business Practice Address: | 66 Main St Bedford Hills, NY - 105071800 |
Business Phone Number: | 9147636754 |
Business Fax Number: | |
Mailing Address: | 2 Ida Ln, POUND RIDGE |
State: | NY |
Postal Code: | 105761335 |
Phone Number: | 9147639617 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 12299 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |