Provider Demographics
NPI:1598573610
Name:WHITE, HALEIGH (AUD)
Entity type:Individual
Prefix:DR
First Name:HALEIGH
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12190 S COVE CREST CIR
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84065-7463
Mailing Address - Country:US
Mailing Address - Phone:801-602-5095
Mailing Address - Fax:
Practice Address - Street 1:2964 W 4700 S STE 116
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84129-2559
Practice Address - Country:US
Practice Address - Phone:801-417-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9435861-4101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist