National Provider Identifier
Jennifer L Haak, M.D.
Jennifer L Haak, M.D. is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician in Lackawanna, NY and a listed phone number of (716) 828-9655.
Profile Overview
- NPI
- 1205925039
- Provider Type
- Individual
- Primary Specialty
- Child & Adolescent Psychiatry Physician
- Enumeration Date
- October 12, 2006
- Last Updated
- July 08, 2007
Practice Location
- 650 Ridge RD
- Lackawanna, NY 14218-1435
Phone: (716) 828-9655
Specialties
- Child & Adolescent Psychiatry Physician (2084P0804X)
Full Record
- NPI
- 1205925039
- Entity Type
- Individual
- Last Name
- Haak
- First Name
- Jennifer
- Middle Name
- L
- Name Prefix
- MS.
- Credential
- M.D.
- Mailing Street Address
- 650 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1435
- Mailing Country
- US
- Mailing Phone
- (716) 828-9655
- Mailing Fax
- (716) 828-9745
- Practice Street Address
- 650 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1435
- Practice Country
- US
- Practice Phone
- (716) 828-9655
- Practice Fax
- (716) 828-9745
- Enumeration Date
- October 12, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Child & Adolescent Psychiatry Physician (2084P0804X)