Healthcare Provider Details

I. General information

NPI: 1881511186
Provider Name (Legal Business Name): HALEO CLINIC USA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 OGLETOWN RD # 4199
NEWARK DE
19713-1927
US

IV. Provider business mailing address

2915 OGLETOWN RD # 4199
NEWARK DE
19713-1927
US

V. Phone/Fax

Practice location:
  • Phone: 438-926-4567
  • Fax:
Mailing address:
  • Phone: 438-926-4567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. BRADLEY CAMERON SMITH
Title or Position: CEO
Credential: OTHER
Phone: 438-926-4567