Provider Demographics
NPI:1154298172
Name:GRIMMER GOERING, HAYLEE LORRAINE
Entity type:Individual
Prefix:
First Name:HAYLEE
Middle Name:LORRAINE
Last Name:GRIMMER GOERING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12024 CALLIE CHRISTINA CT
Mailing Address - Street 2:
Mailing Address - City:SALADO
Mailing Address - State:TX
Mailing Address - Zip Code:76571-6603
Mailing Address - Country:US
Mailing Address - Phone:541-609-8551
Mailing Address - Fax:
Practice Address - Street 1:5320 205 LOOP
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-4097
Practice Address - Country:US
Practice Address - Phone:254-770-1017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-22
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121141235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist