MEDICARE: HALEY ROHDE MS

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	103TC0700X	Clinical Psychologist	6362010118	MI

General Provider Information

NPI Number	:	1902527708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY ROHDE MS

Provider Business Mailing Address
First Line	:	717 N MACOMB ST
Second Line	:
City	:	MONROE
State	:	MI
Zip	:	48162-2929
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	717 N MACOMB ST
Second Line	:
City	:	MONROE
State	:	MI
Zip	:	48162-2929
Country	:	US
Telephone Number	:	734-258-3518
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2022
Last Update Date	:	03/20/2025

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Directions to “ HALEY ROHDE MS” Practice Location

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