Provider Demographics
NPI:1528153426
Name:HAUN, WINSTON (PSY D)
Entity type:Individual
Prefix:
First Name:WINSTON
Middle Name:
Last Name:HAUN
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50468
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78763
Mailing Address - Country:US
Mailing Address - Phone:512-225-6345
Mailing Address - Fax:512-225-6344
Practice Address - Street 1:2408 W 8TH STREET
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703
Practice Address - Country:US
Practice Address - Phone:512-797-8747
Practice Address - Fax:512-491-5030
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-01-10
Deactivation Date:2006-10-20
Deactivation Code:
Reactivation Date:2008-01-10
Provider Licenses
StateLicense IDTaxonomies
TX22118103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
S13466488OtherTRICARE
S13466488OtherTRICARE