Individual
LORI ANN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29451 GREENFIELD RD, SOUTHFIELD, MI 48076-2251
(248) 864-5200
Mailing address
1071 W LANTZ ST, DETROIT, MI 48203-5100
(734) 788-6906
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361007614
MI
103TC0700X
Clinical Psychologist
6362009213
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/02/2020
Last updated
02/06/2026
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