Provider Demographics
NPI:1104241421
Name:MURRAY, HAYLEY DIANE (ATP)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:DIANE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:ATP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16125 TIMBER CREEK PLACE LN
Mailing Address - Street 2:#500
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6900
Mailing Address - Country:US
Mailing Address - Phone:281-463-6161
Mailing Address - Fax:281-463-1313
Practice Address - Street 1:16125 TIMBER CREEK PLACE LN
Practice Address - Street 2:#500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6900
Practice Address - Country:US
Practice Address - Phone:281-463-6161
Practice Address - Fax:281-463-1313
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ILATP3402225CA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CA2500XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Supplier