| Susan C Haley M.d.,llc | |
|
1446 S Reynolds Rd Ste 215 Maumee OH 43537-1634 | |
| (419) 794-0553 | |
| (419) 794-0554 |
| Full Name | Susan C Haley M.d.,llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1446 S Reynolds Rd Ste 215, Maumee, Ohio |
| Authorized Official Name and Position | Susan Carol Haley (OWNER) |
| Authorized Official Contact | 4197940553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan C Haley M.d.,llc 1446 S Reynolds Rd Ste 215 Maumee OH 43537-1634 Ph: (419) 794-0553 | Susan C Haley M.d.,llc 1446 S Reynolds Rd Ste 215 Maumee OH 43537-1634 Ph: (419) 794-0553 |
| NPI Number | 1669076485 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 11/23/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669076485 | NPI | - | NPPES |
| 35052058 | Other | OH | OHIO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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