Individual
DR. DALE A HALFAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
1350 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4376
(417) 761-5000
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
R0289
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498171214
—
MO
01
—
620004444
RAILROAD MEDICARE
MO
Enumeration date
09/28/2006
Last updated
03/31/2026
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