Provider Demographics
NPI:1639969991
Name:ANDREW T. HABER, M.D., L.L.C.
Entity type:Organization
Organization Name:ANDREW T. HABER, M.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:T
Authorized Official - Last Name:HABER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-463-7406
Mailing Address - Street 1:11111 N SCOTTSDALE RD STE 240
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6737
Mailing Address - Country:US
Mailing Address - Phone:602-463-7406
Mailing Address - Fax:866-282-3513
Practice Address - Street 1:11111 N SCOTTSDALE RD STE 240
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6737
Practice Address - Country:US
Practice Address - Phone:602-463-7406
Practice Address - Fax:866-282-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health