Organization · NPI-2

Evelyn E Hale PLLC

Clinic/Center, Adult Mental Health · Concord, MA

NPI number1639814478
StatusActive
Last updated in NPPESMay 4, 2022

Details

NPI
1639814478
Entity type
Organization (NPI-2)
Legal business name
Evelyn E Hale PLLC
Organization subpart
No
Enumeration date
May 4, 2022
Certification date
May 4, 2022
Last updated
May 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

55b Staffordshire Ln
Concord, MA 01742-3218

Phone 617-462-1844

Mailing address

55b Staffordshire Ln
Concord, MA 01742-3218

Phone 617-462-1844

Authorized official

Evelyn Everett Hale
Psychiatrist
6174621844

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