Dr Jean E Hale, PSYD is a
Psychologist based in Gold Beach, Oregon. Dr Jean E Hale is licensed to practice in Oregon (license number 1405) and her current practice location is
94174 10th St., Gold Beach, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 247-0678.
NPI number for Dr Jean E Hale is 1053405753 and her current mailing address is P.o. Box 496, Gold Beach, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053405753.
Healthcare Provider's Profile
| Full Name | Dr Jean E Hale |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 94174 10th St., Gold Beach, Oregon |
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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: 1053405753
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 01/19/2010
Medical Identifiers
Medical identifiers for Dr Jean E Hale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053405753 | NPI | - | NPPES |
| 262371 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 1405 (Oregon) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 1405 (Oregon) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1405 (Oregon) | Secondary |
| 103TC1900X | Psychologist - Counseling | 1405 (Oregon) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 1405 (Oregon) | Secondary |
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 Jean E 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 Jean E Hale, PSYD
P.o. Box 496,
Gold Beach, OR 97444
Ph: (541) 247-0678 | Dr Jean E Hale, PSYD
94174 10th St.,
Gold Beach, OR 97444
Ph: (541) 247-0678 |
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