Individual
DR. SUSAN C. HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1446 REYNOLDS RD STE 215, MAUMEE, OH 43537-1634
(419) 794-0553
(419) 794-0554
Mailing address
1446 REYNOLDS RD STE 215, MAUMEE, OH 43537-1634
(419) 794-0553
(419) 794-0554
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35052058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359176
ANTHEM
OH
05
—
0672160
—
OH
Enumeration date
06/28/2006
Last updated
11/18/2020
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