Provider Demographics
NPI:1386129807
Name:MCADOO, HALEY
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:
Last Name:MCADOO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1906 HARRIS ST NW
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-1574
Mailing Address - Country:US
Mailing Address - Phone:580-222-5433
Mailing Address - Fax:
Practice Address - Street 1:1906 HARRIS ST NW
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1574
Practice Address - Country:US
Practice Address - Phone:580-223-2472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant