Provider Demographics
NPI:1336845932
Name:MOSES, HAYLEY J
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:J
Last Name:MOSES
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 1:20150 MAIN STREET HIGHWAY 86
Mailing Address - Street 2:
Mailing Address - City:SAEGERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:16433-5328
Mailing Address - Country:US
Mailing Address - Phone:814-573-2288
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 49
Practice Address - Street 2:
Practice Address - City:MINERAL SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:16855-0049
Practice Address - Country:US
Practice Address - Phone:814-762-4426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL016431235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist