Haley, Connie

Haley, Connie is an individual health care provider with primary practice located at 5665 W Maple Rd Ste. A, West Bloomfield MI 48322-3741. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Haley, Connie can be contacted via phone (248) 538-1958.

Contact Information

Primary practice address
5665 W Maple Rd Ste. A West Bloomfield MI 48322-3741
Phone: (248) 538-1958
Fax: (248) 626-8836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301006010 Michigan

Profile Details

NPI number 1720016645
LBN Legal business name Haley, Connie
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - 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 1720016645 NPPES
Michigan Other 680F301210 BLUE CROSS BLUE SHIELD

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