Individual
LYNN L HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3050 MACK RD, SUITE 205, FAIRFIELD, OH 45014-5379
(513) 682-6980
(513) 981-5753
Mailing address
3050 MACK RD, SUITE 205, FAIRFIELD, OH 45014-5379
(513) 682-6980
(513) 981-5753
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6156
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2647309
—
OH
Enumeration date
02/09/2006
Last updated
08/04/2011
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