Doctor Name: | HAYLEY ROBERTSON |
NPI Number: | 1144426172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP-399 |
Business Practice Address: | 953 Walnut St Unit A Wheatland, WY - 822012666 |
Business Phone Number: | 3073221878 |
Business Fax Number: | 3073221879 |
Mailing Address: | Po Box 1790, DOUGLAS |
State: | WY |
Postal Code: | 826331790 |
Phone Number: | 3073589464 |
Fax Number: | 3073589330 |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-399 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |