| Doctor Name: | MRS. SUE ANN HALLER |
| NPI Number: | 1023116738 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW LMFT |
| License Number: | 34002365A |
| Business Practice Address: | 4733 S 7th St Terre Haute, IN - 47802 |
| Business Phone Number: | 8122340448 |
| Business Fax Number: | 8122346614 |
| Mailing Address: | 6674 E Dallas Dr, TERRE HAUTE |
| State: | IN |
| Postal Code: | 47802 |
| Phone Number: | 8122340448 |
| Fax Number: | 8122346614 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34002365A |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |