Provider Demographics
NPI:1114731809
Name:EGLASH, HAYLEY (LMFT)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:EGLASH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4577 CHATEAU DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-2946
Mailing Address - Country:US
Mailing Address - Phone:608-469-4355
Mailing Address - Fax:
Practice Address - Street 1:2251 SAN DIEGO AVE STE B150
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-2969
Practice Address - Country:US
Practice Address - Phone:619-389-3350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA152994106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist