Provider Demographics
NPI:1376693671
Name:HAYDUK, EDWARD ANDREW (MS)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:ANDREW
Last Name:HAYDUK
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 E BUTLER AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2280
Mailing Address - Country:US
Mailing Address - Phone:215-489-3035
Mailing Address - Fax:215-489-3036
Practice Address - Street 1:833 E BUTLER AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2280
Practice Address - Country:US
Practice Address - Phone:215-489-3035
Practice Address - Fax:215-489-3036
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-005981-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical