Individual
DR. MARK EDWIN HALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2622 AVENUE C, SCOTTSBLUFF, NE 69361-1680
(308) 632-8547
(308) 632-0135
Mailing address
2622 AVENUE C, SCOTTSBLUFF, NE 69361-1680
(308) 632-8547
(308) 632-0135
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
583
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08032
BLUE CROSS/ BLUE SHIELD
NE
01
—
11223
MIDLANDS CHOICE
NE
05
—
47083791626
—
NE
Enumeration date
10/19/2006
Last updated
08/31/2007
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