Individual
SHELLEY J HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 W MARTIN ST, MARTINSBURG, WV 25401-2719
(304) 264-5061
(304) 264-5058
Mailing address
65 IRISH LN, MARTINSBURG, WV 25403-5171
(304) 274-5007
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2599
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166465000
—
WV
Enumeration date
04/10/2008
Last updated
04/10/2008
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