Doctor Name: | MRS. DEBORAH ANN HALE |
NPI Number: | 1063721587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 001292 |
Business Practice Address: | 10821 Breeden Dr Rolla, MO - 654019361 |
Business Phone Number: | 5734654989 |
Business Fax Number: | |
Mailing Address: | 10821 Breeden Dr, ROLLA |
State: | MO |
Postal Code: | 654019361 |
Phone Number: | 5734654989 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2010 |
NPI Last Update Date: | 09/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 001292 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |