Provider Demographics
NPI:1851418792
Name:HAAS, SCOTT (PHD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:HAAS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:SCOTT
Other - Middle Name:
Other - Last Name:HAAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:27 GIBSON ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4719
Mailing Address - Country:US
Mailing Address - Phone:617-497-2114
Mailing Address - Fax:
Practice Address - Street 1:27 GIBSON ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4719
Practice Address - Country:US
Practice Address - Phone:617-497-2114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4985103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical