Provider Demographics
NPI:1013617760
Name:HAUGHTON, PAUL ALEXANDER (PSYD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ALEXANDER
Last Name:HAUGHTON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8540 VERREE RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-1399
Mailing Address - Country:US
Mailing Address - Phone:215-701-2625
Mailing Address - Fax:215-701-3152
Practice Address - Street 1:8540 VERREE RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-1399
Practice Address - Country:US
Practice Address - Phone:215-701-2625
Practice Address - Fax:215-701-3152
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006327L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical