Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 0121671 | NY |
Y | 103G00000X | Clinical Psychologist | 0121671 | NY |
Y | 103TC0700X | Clinical Psychologist | 0121671 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 0121671 | NY |
N | 103TF0000X | Family Psychologist | 0121671 | NY |
N | 103TH0004X | Health Psychologist | 0121671 | NY |
NPI | 1023277191 |
---|---|
Provider Name | Dr. Rita M Haley |
First Address | New York, NY 10003-6745 |
Second Address | New York, NY 10003-6745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2008 |
Last Update Date | 06/05/2012 |