Hale, Shelley J

Hale, Shelley J is an sole proprietor health care provider with primary practice located at 515 W Martin St , Martinsburg WV 25401-2719. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hale, Shelley J can be contacted via phone (304) 264-5061.

Contact Information

Primary practice address
515 W Martin St Martinsburg WV 25401-2719
Fax: (304) 264-5058
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2599 West Virginia

Profile Details

NPI number 1205009289
LBN Legal business name Hale, Shelley J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2008
Last updated Apr 10th, 2008 - about 17 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 1205009289 NPPES
West Virginia MEDICAID 0166465000

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