Individual
MR. JOHN S HALE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD LICENSED PSYCHOL
Contact information
Practice address
607 HUDSON RD, GLENBURN, ME 04401-1406
(207) 944-3804
Mailing address
607 HUDSON RD, GLENBURN, ME 04401-1406
(207) 944-0133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS583
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200700001
—
ME
Enumeration date
12/26/2006
Last updated
10/17/2021
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