Provider Demographics
NPI:1033236096
Name:HALAS, MARY8 A (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARY8
Middle Name:A
Last Name:HALAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:50 S PICKETT ST
Mailing Address - Street 2:SUITE 224
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-7207
Mailing Address - Country:US
Mailing Address - Phone:703-823-0801
Mailing Address - Fax:703-823-0802
Practice Address - Street 1:50 S PICKETT ST
Practice Address - Street 2:SUITE 224
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-7207
Practice Address - Country:US
Practice Address - Phone:703-823-0801
Practice Address - Fax:703-823-0802
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1198101YP2500X
AZ1196103TC0700X
MD2126103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical