Individual
DR. CONNIE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
5665 W MAPLE RD, STE. A, WEST BLOOMFIELD, MI 48322-3741
(248) 538-1958
(248) 626-8836
Mailing address
5665 W MAPLE RD, STE. 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
—
680F301210
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/29/2006
Last updated
07/08/2007
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