Provider Demographics
NPI:1508827643
Name:HAUPT, STEVEN G (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:HAUPT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2098 MITCHELL ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3645
Mailing Address - Country:US
Mailing Address - Phone:989-799-8498
Mailing Address - Fax:
Practice Address - Street 1:4901 TOWNE CTR
Practice Address - Street 2:SUITE 115
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2841
Practice Address - Country:US
Practice Address - Phone:989-921-5715
Practice Address - Fax:989-921-5960
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301008076103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI041733OtherVALUE OPTIONS
MI0987029OtherHEALTH PLUS
MI0987029OtherHEALTH PLUS