Individual
DR. SHAWN WILLIS HALES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1111 WASHINGTON BLVD, BALTIMORE, MD 21230
(410) 467-6040
(410) 783-0569
Mailing address
2204 MARYLAND AVE, BALTIMORE, MA 21218
(410) 467-6040
(410) 735-5898
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3352
MD
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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