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NPI Code Detail

MEDICARE: CORINNE HALE M.A.

MEDICARE: CORINNE HALE M.A.
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
1235Z00000XSpeech-Language PathologistSA15142FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477932010
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE HALE M.A.
Provider Business Mailing Address
First Line : 720 S CHICKASAW TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32825-7808
Country : US
Telephone Number : 321-806-0474
Fax Number :
Provider Business Practice Location Address
First Line : 1858 N ALAFAYA TRL STE 207
Second Line :
City : ORLANDO
State : FL
Zip : 32826-4754
Country : US
Telephone Number : 407-900-5313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2015
Last Update Date : 05/14/2020

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Directions to “ CORINNE HALE M.A.” Practice Location

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