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Individual

MRS. SUE ANN HALLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW LMFT

Contact information

Practice address
4733 S 7TH ST, TERRE HAUTE, IN 47802
(812) 234-0448
(812) 234-6614
Mailing address
6674 E DALLAS DR, TERRE HAUTE, IN 47802
(812) 234-0448
(812) 234-6614

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34002365A
IN
106H00000X
Marriage & Family Therapist
Primary
35001126A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000183047
ANTHEM
01
1049908
CIGNA BEHAVIORAL
01
157281
MANAGED HEALTH NETWORK
01
352064811001
EMPIRE BCBS
01
35206481101
BCBS FED EMPLOYEES
01
402700
VALUE OPTIONS
01
5431692
AETNA
Enumeration date
09/20/2006
Last updated
09/11/2025
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