Individual
DR. MARY K HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1060 E 100 S, SUITE L1, SALT LAKE CITY, UT 84102-1501
(801) 359-6069
(801) 359-6049
Mailing address
PO BOX 581017, SALT LAKE CITY, UT 84158-1017
(801) 359-6069
(801) 359-6049
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
UT
Other
Enumeration date
03/09/2006
Last updated
10/29/2007
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