Provider Demographics
NPI:1932949781
Name:FREY, HALEY RENEE
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:RENEE
Last Name:FREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 PEMBERTON PL
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:GA
Mailing Address - Zip Code:30277-1989
Mailing Address - Country:US
Mailing Address - Phone:720-937-4269
Mailing Address - Fax:
Practice Address - Street 1:35 PEMBERTON PL
Practice Address - Street 2:
Practice Address - City:SHARPSBURG
Practice Address - State:GA
Practice Address - Zip Code:30277-1989
Practice Address - Country:US
Practice Address - Phone:720-937-4269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician