Organization
SUSAN C HALEY M.D.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN CAROL HALEY MD (OWNER)
(419) 794-0553
Entity
Organization
Contact information
Practice address
1446 S REYNOLDS RD STE 215, MAUMEE, OH 43537-1634
(419) 794-0553
(419) 794-0554
Mailing address
1446 S 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35052058
OHIO LICENSE
OH
Enumeration date
11/23/2020
Last updated
11/23/2020
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