Shelley J Hale
Individual provider Active NPI Psychologist · Martinsburg, WV
NPI 1205009289 · NPPES record last updated Apr 10, 2008
Key facts
- NPI
- 1205009289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2599 (WV)
- Practice address
- 515 W Martin St
Martinsburg, WV 25401-2719 - Phone
- (304) 264-5061
- Fax
- (304) 264-5058
- NPI assigned
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2599 | WV | Yes |
Addresses
Primary practice location
515 W Martin St
Martinsburg, WV 25401-2719
Mailing address
65 Irish LN
Martinsburg, WV 25403-5171
Phone (304) 274-5007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0166465000 | Medicaid | WV |
Other providers in Martinsburg, WV
- Katlyn J Hackling
- Mistie Lynn Haddix
- Kaila Lyn Hadrick
- Rachel Hain
- Nathan Hale
- Connor Hall
- Ezra Hall
- Jason W Hall
- Julie Corbin Hall
- Marci Ann Hall
All providers in Martinsburg, WV · Psychologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.