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NPI Code Detail

MEDICARE: HALEY PSYCHOLOGY SERVICES, P.C.

MEDICARE: HALEY PSYCHOLOGY SERVICES, P.C.
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 Psychologist012167-1NY

General Provider Information

NPI Number : 1124143714
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALEY PSYCHOLOGY SERVICES, P.C.
Provider Business Mailing Address
First Line : 300 MERCER ST
Second Line : SUITE 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 : SUITE 34L
City : NEW YORK
State : NY
Zip : 10003-6745
Country : US
Telephone Number : 212-982-1953
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RITA HALEY
Credential : PH.D.
Telephone Number : 212-982-1953
Provider Enumeration Date : 03/20/2007
Last Update Date : 08/22/2020

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Directions to “HALEY PSYCHOLOGY SERVICES, P.C. ” Practice Location

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