Organization
CONNIE HALEY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE KAY HALEY PHD (PRESIDENT)
(248) 538-1958
Entity
Organization
Contact information
Practice address
5665 W MAPLE RD, SUITE A, WEST BLOOMFIELD, MI 48322-3741
(248) 538-1958
(248) 626-8836
Mailing address
5665 W MAPLE RD, SUITE A, WEST BLOOMFIELD, MI 48322-3741
(248) 538-1958
(248) 626-8836
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720016645
NPI TYPE 1
MI
Enumeration date
06/12/2007
Last updated
08/22/2020
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