Provider Demographics
NPI:1598132359
Name:BUCHANAN, HAYLEY PATRICIA (BA)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:PATRICIA
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6852 CAPSTONE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-5606
Mailing Address - Country:US
Mailing Address - Phone:714-797-2100
Mailing Address - Fax:
Practice Address - Street 1:23441 S. POINTE DRIVE
Practice Address - Street 2:SUITE 245
Practice Address - City:LAGUNA HILLS
Practice Address - State:ORANGE COUNTY
Practice Address - Zip Code:92647
Practice Address - Country:UM
Practice Address - Phone:949-305-0315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-27
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPA 33502355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant