Dr Connie Lee Hale, EDUC PSYCHOLOGIST is a
Psychologist - School based in Mi Wuk Village, California. Dr Connie Lee Hale is licensed to practice in California (license number 3288) and her current practice location is
22360 Kerensa Court, Mi Wuk Village, California. She can be reached at her office (for appointments etc.) via phone at
(209) 743-0238.
NPI number for Dr Connie Lee Hale is 1215680293 and her current mailing address is Po Box 249, Mi Wuk Village, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215680293.
Healthcare Provider's Profile
| Full Name | Dr Connie Lee Hale |
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| Gender | Female |
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| Speciality | Psychologist - School |
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| Location | 22360 Kerensa Court, Mi Wuk Village, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215680293
- Provider Enumeration Date: 01/31/2022
- Last Update Date: 01/31/2022
Medical Identifiers
Medical identifiers for Dr Connie Lee Hale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215680293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | 3288 (California) | 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. Dr Connie Lee Hale 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 |
|---|
Dr Connie Lee Hale, EDUC PSYCHOLOGIST
Po Box 249,
Mi Wuk Village, CA 95346-0249
Ph: (209) 743-0238 | Dr Connie Lee Hale, EDUC PSYCHOLOGIST
22360 Kerensa Court,
Mi Wuk Village, CA 95346-9534
Ph: (209) 743-0238 |
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