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NPI Code Detail

MEDICARE: DR. RITA M HALEY PHD

MEDICARE:  DR. RITA M HALEY  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TB0200XCognitive & Behavioral Psychologist0121671NY
2103TC0700XClinical Psychologist0121671NY
3103TC2200XClinical Child & Adolescent Psychologist0121671NY
4103TF0000XFamily Psychologist0121671NY
5103TH0004XHealth Psychologist0121671NY

General Provider Information

NPI Number : 1023277191
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RITA M HALEY PHD
Provider Business Mailing Address
First Line : 300 MERCER ST
Second Line : 34L
City : NEW YORK
State : NY
Zip : 10003-6745
Country : US
Telephone Number : 212-982-1953
Fax Number :
Provider Business Practice Location Address
First Line : 300 MERCER ST
Second Line : 34L
City : NEW YORK
State : NY
Zip : 10003-6745
Country : US
Telephone Number : 212-982-1953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2008
Last Update Date : 05/06/2012

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