Provider Demographics
NPI:1891052916
Name:SPEER, HALEY (LCSW)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:SPEER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:SPEER
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:237 NEBRASKA ST
Mailing Address - Street 2:
Mailing Address - City:SPINDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28160-1522
Mailing Address - Country:US
Mailing Address - Phone:423-608-0922
Mailing Address - Fax:
Practice Address - Street 1:2417 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-4009
Practice Address - Country:US
Practice Address - Phone:855-446-4374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-572321041C0700X
TN57731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical