Individual
DR. ROBERTA TEKOTTE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1540 LAKE LANSING RD., SUITE 101, LANSING, MI 48912
(517) 913-6508
(517) 913-3813
Mailing address
1540 LAKE LANSING RD., SUITE 101, LANSING, MI 48912
(517) 913-6508
(517) 913-3813
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301003912
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C34589
BLUE CROSS & BLUE SHIELD
MI
Enumeration date
10/03/2006
Last updated
07/08/2007
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