Provider Demographics
NPI:1194046839
Name:HALEY, RITA (MA)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:HALEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 ALDRICH ST
Mailing Address - Street 2:
Mailing Address - City:UXBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01569-2109
Mailing Address - Country:US
Mailing Address - Phone:508-278-6978
Mailing Address - Fax:
Practice Address - Street 1:671 ALDRICH ST
Practice Address - Street 2:
Practice Address - City:UXBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01569-2109
Practice Address - Country:US
Practice Address - Phone:508-278-6978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health