Dale Albert Halfaker in Springfield - Clinical

Dale Albert Halfaker - NPI 1194817387

Dale Albert Halfaker is a Clinical in Springfield, Missouri. Dale Albert Halfaker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dale Albert Halfaker is 1194817387. The last update date is 2020-04-22.

Dale Albert Halfaker's current location address is 1300 E Bradford Pkwy, Springfield, Missouri. You can contact this provider via phone number 4177615000 and fax number 4177615065. The mailing address for Dale Albert Halfaker is 1300 E Bradford Pkwy, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale Albert Halfaker
Address 1300 E Bradford Pkwy, Springfield, Missouri
Phone Number 4177615000
Fax Number 4177615065
Sole Proprietor N
Credentials PH.D., LP

NPI Number Detail

NPI Number 1194817387
Provider Enumeration Date 2006-09-28
Last Updated Date 2020-04-22

Provider Mailing Address Detail

Address 1300 E Bradford Pkwy
City Springfield
State Missouri (MO)
Post Code 658044264
Phone Number 4177615000
Fax Number 4177615065

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No R0289
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
498171214 MO --
620004444 MO RAILROAD MEDICARE

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FAQs about Dale Albert Halfaker

What is the unique 10-digit identifier code assigned to Dale Albert Halfaker by the Centers for Medicare & Medicaid Services?

The Dale Albert Halfaker has been issued the NPI (National Provider Identifier) 1194817387 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Dale Albert Halfaker?

The Dale Albert Halfaker is physically situated at 1300 E Bradford Pkwy, in the city of Springfield, state of MO, with the postal code 658044264.

What is Dale Albert Halfaker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dale Albert Halfaker is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

When did Dale Albert Halfaker receive its 1194817387 assignment?

The Dale Albert Halfaker was assigned its 1194817387 on 2006-09-28, which is the date when this unique identifier was issued to the organization.

When was the Dale Albert Halfaker's information last updated?

The Dale Albert Halfaker's information was last updated on 2020-04-22.

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