Provider Demographics
NPI:1699460790
Name:HALSELL, HALEY ELIZABETH (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:HALEY
Middle Name:ELIZABETH
Last Name:HALSELL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 NISSAN DR STE 301
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-4360
Mailing Address - Country:US
Mailing Address - Phone:615-751-6524
Mailing Address - Fax:615-534-4762
Practice Address - Street 1:433 NISSAN DR STE 301
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-4360
Practice Address - Country:US
Practice Address - Phone:615-751-6524
Practice Address - Fax:615-534-4762
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5320235Z00000X
TN8628235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist