Haller, Deborah

Haller, Deborah is an sole proprietor health care provider with primary practice located at 321 Dyer Rd , West Palm Beach FL 33405-1219. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Haller, Deborah can be contacted via phone (804) 502-9925.

Contact Information

Primary practice address
321 Dyer Rd West Palm Beach FL 33405-1219
Phone: (804) 502-9925
Fax: (804) 502-9925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 015827-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY9146 Florida

Profile Details

NPI number 1336169978
LBN Legal business name Haller, Deborah
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Dec 8th, 2016 - about 8 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 1336169978 NPPES
New York MEDICAID 02532956

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