JENNIFER S HAUT PHD

Clinical Neuropsychologist

Cleveland, Ohio

Provider NPI: 1407814874

Provider Information:
 JENNIFER S HAUT PHD
Gender: F
Not Sole Proprietor

Practice Location:
9500 EUCLID AVE  CLEVELAND, OH 44195 US
Tel: 800-223-2273  Fax: --

Business Mailing Address:
6000 W CREEK RD SUITE 10 INDEPENDENCE, OH 44131 US
Tel: 800-223-2273  Fax: --

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	OH	5782

Other Provider Identifiers:

Issuer	Number	State	Type
	2261056	OH	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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