Provider Demographics
NPI:1508567306
Name:HALE, LEAH MARIE (DOULA)
Entity Type:Individual
Prefix:
First Name:LEAH MARIE
Middle Name:
Last Name:HALE
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 S LINCOLN AVE APT 12
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-4570
Mailing Address - Country:US
Mailing Address - Phone:732-822-0400
Mailing Address - Fax:
Practice Address - Street 1:240 S LINCOLN AVE APT 12
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-4570
Practice Address - Country:US
Practice Address - Phone:732-822-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula