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General NPI Number Information
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NPI Number | 1104944669
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Entity Type | Individual
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Provider Name | CARL STANLEY HALE PSY.D., H.S.P.P.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 285 W 80TH PL FEDERAL PARK SUITE 2-1
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5431
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Country | US
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Telephone | 219-769-7233
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Fax | 219-769-7235
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Provider Business Mailing Address
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Address Line | 285 W. 80TH PLACE FEDERAL PARK SUITE 2-1
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City | MERRILLVILLE
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State | IN
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Zip | 46410
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Country | US
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Telephone | 219-769-7233
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Fax | 219-769-7235
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 20041241A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20041241A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 20041241A
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License Number State | IN
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