Provider Demographics
NPI:1104840164
Name:HAUER, ANNE DOYLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:DOYLE
Last Name:HAUER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5110 SWEETBRIAR CIR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-4600
Mailing Address - Country:US
Mailing Address - Phone:757-638-9045
Mailing Address - Fax:757-398-3211
Practice Address - Street 1:3100 LONDON BLVD
Practice Address - Street 2:#1
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3402
Practice Address - Country:US
Practice Address - Phone:757-398-3200
Practice Address - Fax:757-398-3211
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005094101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1104840164Other1104741064