MARC W HAUT PH.D.
Clinical Neuropsychologist
Morgantown, West Virginia
Provider NPI: 1598738452
Provider Information:MARC W HAUT PH.D.
Gender: M
Practice Location:
930 CHESTNUT RIDGE RD MORGANTOWN, WV 26505 US
Tel: 304-598-4214 Fax: 304-293-6963
Business Mailing Address:
PO BOX 897 MORGANTOWN, WV 26507 US
Tel: 304-293-7401 Fax: 304-293-6963
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | WV | 499 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0163397000 | WV | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin