Provider Demographics
NPI:1326877010
Name:HAUSSER, ERIN (LAC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:HAUSSER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PARAGON WAY STE 800
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-9573
Mailing Address - Country:US
Mailing Address - Phone:732-393-8391
Mailing Address - Fax:732-561-1721
Practice Address - Street 1:5 VAUGHN DR STE 108
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6313
Practice Address - Country:US
Practice Address - Phone:732-393-8391
Practice Address - Fax:731-561-1721
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00810700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health