Individual
MR. GEORGE HALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
115 S LUDLOW ST, DAYTON, OH 45402-1812
(937) 542-3312
Mailing address
31 RUE ROYALE APT J, KETTERING, OH 45429-1474
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
UDI-00-4587
OH
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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