Provider Demographics
NPI:1447985809
Name:HAUSMANN, CHERI LYNN
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:LYNN
Last Name:HAUSMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 W HICKORY ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4190
Mailing Address - Country:US
Mailing Address - Phone:940-218-8437
Mailing Address - Fax:
Practice Address - Street 1:121 W HICKORY ST STE 201
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4190
Practice Address - Country:US
Practice Address - Phone:940-218-8437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204602106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist