Haire, Patricia Ann

Haire, Patricia Ann is an individual health care provider with primary practice located at 1800 Medical Center Dr Ste 300, San Bernardino CA 92411. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Haire, Patricia Ann can be contacted via phone (909) 887-6222.

Contact Information

Primary practice address
1800 Medical Center Dr Ste 300 San Bernardino CA 92411
Phone: (909) 887-6222
Fax: (909) 887-4565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY9267 California

Profile Details

NPI number 1164441176
LBN Legal business name Haire, Patricia Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164441176 NPPES
California MEDICAID OPL02670

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