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Individual

HALEY RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PMHNP-BC

Contact information

Practice address
157 PAIGE HILL RD, BRIMFIELD, MA 01010-9779
(413) 343-4175
Mailing address
157 PAIGE HILL RD, BRIMFIELD, MA 01010-9779
(413) 241-1160

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2372168
MA

Other

Enumeration date
10/19/2023
Last updated
09/23/2024
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