Provider Demographics
NPI:1114726874
Name:DEEM, HALEIGH REBECCA (BS)
Entity type:Individual
Prefix:
First Name:HALEIGH
Middle Name:REBECCA
Last Name:DEEM
Suffix:
Gender:
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 VALLEY CENTER RD
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:VA
Mailing Address - Zip Code:24465-2525
Mailing Address - Country:US
Mailing Address - Phone:540-280-9263
Mailing Address - Fax:
Practice Address - Street 1:704 3RD AVE
Practice Address - Street 2:
Practice Address - City:MARLINTON
Practice Address - State:WV
Practice Address - Zip Code:24954-1142
Practice Address - Country:US
Practice Address - Phone:304-799-6865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty