Hale, Jean E

Hale, Jean E is an sole proprietor health care provider with primary practice located at 94174 10Th St. , Gold Beach OR 97444. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hale, Jean E can be contacted via phone (541) 247-0678.

Contact Information

Primary practice address
94174 10Th St. Gold Beach OR 97444
Phone: (541) 247-0678
Fax: (541) 247-0317
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1405 Oregon
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1405 Oregon
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1405 Oregon
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1405 Oregon
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 1405 Oregon

Profile Details

NPI number 1053405753
LBN Legal business name Hale, Jean E
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jan 19th, 2010 - about 14 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 1053405753 NPPES
Oregon MEDICAID 262371

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