| Doctor Name: | AMY HAUSMAN |
| NPI Number: | 1780003996 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., LPC |
| License Number: | PC007434 |
| Business Practice Address: | 208 Kevin Ln Brodheadsville, PA - 183227044 |
| Business Phone Number: | 5709927620 |
| Business Fax Number: | 5709929884 |
| Mailing Address: | Po Box 783311, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191783311 |
| Phone Number: | 4848844500 |
| Fax Number: | 4848840699 |
| NPI Enumeration Date: | 04/15/2014 |
| NPI Last Update Date: | 12/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC007434 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |