Provider Demographics
NPI:1629119755
Name:HAAS, WILLIAM A (PSYD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:HAAS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:A
Other - Last Name:HAAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:52 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-3925
Mailing Address - Country:US
Mailing Address - Phone:845-342-9906
Mailing Address - Fax:845-342-9906
Practice Address - Street 1:52 GRAND AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-3925
Practice Address - Country:US
Practice Address - Phone:845-342-9906
Practice Address - Fax:845-342-9906
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013968103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist