Haney, Jack

Haney, Jack is an sole proprietor health care provider with primary practice located at 200 Bond St Ste 122, Royston GA 30662-4137. He recently has 2 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 / Clinical is his primary health care specialty. Haney, Jack can be contacted via phone (706) 246-0900.

Contact Information

Primary practice address
200 Bond St Ste 122 Royston GA 30662-4137
Phone: (706) 246-0900
Fax: (706) 246-0900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1193 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1193 Georgia

Profile Details

NPI number 1750309944
LBN Legal business name Haney, Jack
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 18 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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