| Doctor Name: | DR. JUDITH HAUCK |
| NPI Number: | 1972620094 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, RN, PMHCNS-BC |
| License Number: | RN195926L |
| Business Practice Address: | 3 Enck Cir Enola, PA - 170251050 |
| Business Phone Number: | 7175769243 |
| Business Fax Number: | 8666834434 |
| Mailing Address: | 3 Enck Cir, ENOLA |
| State: | PA |
| Postal Code: | 170251050 |
| Phone Number: | 7175769243 |
| Fax Number: | 8666834434 |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 09/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | RN195926L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |