Provider Demographics
NPI:1083875199
Name:HALE, RODNEY WAYNE (AUD)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:WAYNE
Last Name:HALE
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STATE HWY 56 & 270 JCT/BARKING WATER ROAD
Mailing Address - Street 2:
Mailing Address - City:WEWOKA
Mailing Address - State:OK
Mailing Address - Zip Code:74884
Mailing Address - Country:US
Mailing Address - Phone:405-257-7500
Mailing Address - Fax:
Practice Address - Street 1:STATE HWY 56 & 270 JCT/BARKING WATER ROAD
Practice Address - Street 2:
Practice Address - City:WEWOKA
Practice Address - State:OK
Practice Address - Zip Code:74884
Practice Address - Country:US
Practice Address - Phone:405-257-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK335231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist