Provider Demographics
NPI:1245209485
Name:HALE, ROBERT GUY JR (AUD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:GUY
Last Name:HALE
Suffix:JR
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 1:501 VIRGINIA DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7317
Mailing Address - Country:US
Mailing Address - Phone:870-698-1846
Mailing Address - Fax:870-793-2463
Practice Address - Street 1:501 VIRGINIA DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7317
Practice Address - Country:US
Practice Address - Phone:870-698-1846
Practice Address - Fax:870-793-2463
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA164231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR139981720Medicaid
AR5U726Medicare ID - Type Unspecified