Provider Demographics
NPI:1659614063
Name:HALSEY, HALLIE ANN (RD)
Entity Type:Individual
Prefix:MS
First Name:HALLIE
Middle Name:ANN
Last Name:HALSEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 W SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-1628
Mailing Address - Country:US
Mailing Address - Phone:804-439-3114
Mailing Address - Fax:
Practice Address - Street 1:28 W SPRING ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-1628
Practice Address - Country:US
Practice Address - Phone:804-439-3114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered