Haley, Richard W

Haley, Richard W is an sole proprietor health care provider with primary practice located at 12781 World Plaza Ln Ste 1 , Fort Myers FL 33907-3989. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Haley, Richard W can be contacted via phone (239) 939-3700.

Contact Information

Primary practice address
12781 World Plaza Ln Ste 1 Fort Myers FL 33907-3989
Phone: (239) 939-3700
Fax: (239) 939-3889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT1340 Florida

Profile Details

NPI number 1477565984
LBN Legal business name Haley, Richard W
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477565984 NPPES
Florida Other MT1340 LMFT

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