| Doctor Name: | DR. JOHN HANS RATHAUSER |
| NPI Number: | 1518031145 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1394 |
| Business Practice Address: | 3270 State Route 27 Suite 1100 Kendall Park, NJ - 088241496 |
| Business Phone Number: | 7322975557 |
| Business Fax Number: | |
| Mailing Address: | 3270 State Route 27, Suite 1100 KENDALL PARK |
| State: | NJ |
| Postal Code: | 088241496 |
| Phone Number: | 7322975557 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 04/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1394 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |