Mrs Sue Ann Haller, LCSW LMFT is a
Marriage & Family Therapist based in Terre Haute, Indiana. Mrs Sue Ann Haller is licensed to practice in Indiana (license number 35001126A) and her current practice location is
4733 S 7th St, Terre Haute, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 234-0448.
NPI number for Mrs Sue Ann Haller is 1023116738 and her current mailing address is 6674 E Dallas Dr, Terre Haute, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023116738.
Healthcare Provider's Profile
| Full Name | Mrs Sue Ann Haller |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 4733 S 7th St, Terre Haute, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023116738
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Sue Ann Haller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023116738 | NPI | - | NPPES |
| 157281 | Other | | MANAGED HEALTH NETWORK |
| 352064811001 | Other | | EMPIRE BCBS |
| 35206481101 | Other | | BCBS FED EMPLOYEES |
| 000000183047 | Other | | ANTHEM |
| 402700 | Other | | VALUE OPTIONS |
| 1049908 | Other | | CIGNA BEHAVIORAL |
| 5431692 | Other | | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 34002365A (Indiana) | Primary |
| 106H00000X | Marriage & Family Therapist | 35001126A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sue Ann Haller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Sue Ann Haller, LCSW LMFT
6674 E Dallas Dr,
Terre Haute, IN 47802
Ph: (812) 234-0448 | Mrs Sue Ann Haller, LCSW LMFT
4733 S 7th St,
Terre Haute, IN 47802
Ph: (812) 234-0448 |
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