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Individual

DEBORAH HALLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
321 DYER RD, WEST PALM BEACH, FL 33405-1219
(804) 502-9925
(804) 502-9925
Mailing address
321 DYER ROAD, WEST PALM BEACH, FL 33405-1737
(804) 502-9925
(804) 502-9925

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
015827-1
NY
103TC0700X
Clinical Psychologist
Primary
PY9146
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02532956
NY
Enumeration date
07/19/2006
Last updated
12/08/2016
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