Individual
NICOLE JEAN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
700 UNIVERSITY DR E, COLLEGE STATION, TX 77840-5807
(979) 691-3300
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38418
TX
103TS0200X
School Psychologist
71159
TX
Other
Enumeration date
09/10/2019
Last updated
12/08/2021
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