Provider Demographics
NPI:1427036961
Name:HAISLER, ROBERT LEE (LMSW-ACP)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEE
Last Name:HAISLER
Suffix:
Gender:M
Credentials:LMSW-ACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 448, BOX 739
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09225
Mailing Address - Country:US
Mailing Address - Phone:9321-305-8906
Mailing Address - Fax:9321-305-8544
Practice Address - Street 1:USAHC-KITZINGEN-SOCIAL WORK
Practice Address - Street 2:UNIT 26137
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09031
Practice Address - Country:US
Practice Address - Phone:9321-305-8906
Practice Address - Fax:9321-305-8544
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSO2454171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor