Provider Demographics
NPI:1235271867
Name:HALE, MARCINA LEE (LMFT)
Entity Type:Individual
Prefix:
First Name:MARCINA
Middle Name:LEE
Last Name:HALE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 KELLER LN
Mailing Address - Street 2:SUITE #3
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-2507
Mailing Address - Country:US
Mailing Address - Phone:203-895-1195
Mailing Address - Fax:
Practice Address - Street 1:7 KELLER LN APT 3
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2500
Practice Address - Country:US
Practice Address - Phone:203-895-1195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001176106H00000X
NY001236106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist