| Richard W. Haley, Inc. | |
|
12520 World Plaza Ln Suite 3 Fort Myers FL 33907-3940 | |
| (239) 939-3700 | |
| (239) 939-3889 |
| Full Name | Richard W. Haley, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12520 World Plaza Ln, Fort Myers, Florida |
| Authorized Official Name and Position | Richard W Haley (OWNER) |
| Authorized Official Contact | 2399393700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard W. Haley, Inc. 12520 World Plaza Ln Suite 3 Fort Myers FL 33907-3940 Ph: (239) 939-3700 | Richard W. Haley, Inc. 12520 World Plaza Ln Suite 3 Fort Myers FL 33907-3940 Ph: (239) 939-3700 |
| NPI Number | 1942614573 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 06/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942614573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT1340 (Florida) | Primary |
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