Doctor Name: | KRISTA D HALEY |
NPI Number: | 1154655033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 4761 |
Business Practice Address: | 55 Mount Pleasant St Rockport, MA - 019661712 |
Business Phone Number: | 9785461012 |
Business Fax Number: | |
Mailing Address: | 94 Pleasant St Ste 16, ARLINGTON |
State: | MA |
Postal Code: | 024766534 |
Phone Number: | 7816413533 |
Fax Number: | 7816413533 |
NPI Enumeration Date: | 09/25/2009 |
NPI Last Update Date: | 09/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |