Provider Demographics
NPI:1659586980
Name:MENUHIN-HAUSER, CLARA H (MA)
Entity Type:Individual
Prefix:
First Name:CLARA
Middle Name:H
Last Name:MENUHIN-HAUSER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 SPANISH POINT DR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6126
Mailing Address - Country:US
Mailing Address - Phone:843-524-7233
Mailing Address - Fax:
Practice Address - Street 1:80 LADYS ISLAND DR
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-1643
Practice Address - Country:US
Practice Address - Phone:843-575-3813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4668101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4668OtherLICENSE NUMBER