Provider Demographics
NPI:1851614994
Name:COLE, HAYLEY MATTOX (MSP, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:MATTOX
Last Name:COLE
Suffix:
Gender:F
Credentials:MSP, CCC-SLP
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:E
Other - Last Name:MATTOX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:275 COMMONWEALTH DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4814
Mailing Address - Country:US
Mailing Address - Phone:864-297-9908
Mailing Address - Fax:864-297-4323
Practice Address - Street 1:275 COMMONWEALTH DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4814
Practice Address - Country:US
Practice Address - Phone:864-297-9908
Practice Address - Fax:864-297-4323
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4385235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist