Provider Demographics
NPI:1427676154
Name:BERLETT, HALEY
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:BERLETT
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 1:1780 PEBBLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-5604
Mailing Address - Country:US
Mailing Address - Phone:224-456-1534
Mailing Address - Fax:
Practice Address - Street 1:1780 PEBBLEWOOD LN
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-5604
Practice Address - Country:US
Practice Address - Phone:224-456-1534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist