Provider Demographics
NPI:1316393267
Name:HOUPT, CRAIG (BSC)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:HOUPT
Suffix:
Gender:M
Credentials:BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7564 BROWNS MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202-9252
Mailing Address - Country:US
Mailing Address - Phone:717-977-7706
Mailing Address - Fax:717-375-6016
Practice Address - Street 1:7564 BROWNS MILL RD
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17202-9252
Practice Address - Country:US
Practice Address - Phone:717-977-7706
Practice Address - Fax:717-375-6016
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000816103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst