Doctor Name: | MRS. NATALIE RAE HALEY |
NPI Number: | 1528372745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/MHC |
License Number: | 7365822-6009 |
Business Practice Address: | 4375 N Maple Ln Enoch, UT - 847219463 |
Business Phone Number: | 4356912802 |
Business Fax Number: | |
Mailing Address: | 4375 N Maple Ln, ENOCH |
State: | UT |
Postal Code: | 847219463 |
Phone Number: | 4356912802 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2010 |
NPI Last Update Date: | 07/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 7365822-6009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |