Doctor Name: | HALEY BULLS SMITH |
NPI Number: | 1558740134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 107404 |
Business Practice Address: | 3166 Clarksville St Paris, TX - 754608015 |
Business Phone Number: | 9037847702 |
Business Fax Number: | 9037847703 |
Mailing Address: | 3166 Clarksville St, PARIS |
State: | TX |
Postal Code: | 754608015 |
Phone Number: | 9037847702 |
Fax Number: | 9037847703 |
NPI Enumeration Date: | 05/28/2015 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 107404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |