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Dr. Jonathan D. Hauser, PHD
Adolescent and Children Mental Health Clinic/Center in Fayetteville, Georgia
NPI 1730102245

Jonathan D. Hauser is an Adolescent and Children Mental Health Clinic/Center based in Fayetteville, GA and is specialized in Adolescent and Children Mental Health. Jonathan D. Hauser practices in Fayetteville, GA and has the professional credentials of PHD. The NPI Number for Jonathan D. Hauser is 1730102245 and holds a License No. 002374 (Georgia).

The current practice location address for Jonathan D. Hauser is 101 Devant Street Ste 705, Fayetteville, GA and can be reached out via phone at 770-716-6012 and via fax at 770-716-6013.

Location: 101 Devant Street Ste 705, Fayetteville, GA, 30214-2717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730102245
Provider Name
Jonathan D. Hauser
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
101 Devant Street Ste 705, Fayetteville, GA, 30214-2717
Phone Number
770-716-6012
Fax Number
770-716-6013
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000857095B 05 GA
institution
Provider Business Practice Location Address Details
Address
101 Devant Street Ste 705
City
Fayetteville
State
Georgia
Zip
30214-2717
Phone Number
770-716-6012
Fax Number
770-716-6013
person
Provider Business Mailing Address Details
Address
101 Devant Street Ste 705
City
Fayetteville
State
Georgia
Zip
30214-2717
Phone Number
770-716-6012
Fax Number
770-716-6013
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
GA002374 (Georgia)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
002374 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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