Organization
PENELOPE HALE PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE A HALE PHD (OWNER)
(313) 278-7777
Entity
Organization
Contact information
Practice address
19855 OUTER DR, SUITE 103W, DEARBORN, MI 48124-2022
(313) 278-7777
(313) 359-9778
Mailing address
523 BARRINGTON RD, GROSSE POINTE PARK, MI 48230-1721
(313) 278-7777
(313) 359-9778
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002422
MI
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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