Provider Demographics
NPI:1922286996
Name:HAUER, CAROLA (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLA
Middle Name:
Last Name:HAUER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CAROLA
Other - Middle Name:
Other - Last Name:MADLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2204 EL CAMINO REAL #205
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054
Mailing Address - Country:US
Mailing Address - Phone:760-443-9565
Mailing Address - Fax:
Practice Address - Street 1:2204 EL CAMINO REAL #205
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054
Practice Address - Country:US
Practice Address - Phone:760-443-9565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT35432106H00000X
CA#25153PSY103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist