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NPI Code Detail

MEDICARE: DR. HAYLEE CORRALES PSY.D.

MEDICARE: DR. HAYLEE CORRALES PSY.D.
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
1103TC0700XClinical PsychologistPY12205FL

General Provider Information

NPI Number : 1639260284
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAYLEE CORRALES PSY.D.
Provider Business Mailing Address
First Line : 9712 RENNES LN
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33446-2329
Country : US
Telephone Number : 310-341-5431
Fax Number :
Provider Business Practice Location Address
First Line : 3200 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3710
Country : US
Telephone Number : 310-466-5706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 05/15/2024

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