Haefner, Paul Thomas

Haefner, Paul Thomas is an individual health care provider with primary practice located at 210 Wirt St Sw Suite 102, Leesburg VA 20175-2929. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Haefner, Paul Thomas can be contacted via phone (703) 777-1122.

Contact Information

Primary practice address
210 Wirt St Sw Suite 102 Leesburg VA 20175-2929
Phone: (703) 777-1122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002093 Virginia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 0810002093 Virginia
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X 0810002093 Virginia
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 0810002093 Virginia

Profile Details

NPI number 1982891347
LBN Legal business name Haefner, Paul Thomas
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Oct 1st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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