Provider Demographics
NPI:1992585590
Name:CONROY, HAILEY SHEA
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:SHEA
Last Name:CONROY
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 1:2 MANNING CT
Mailing Address - Street 2:
Mailing Address - City:HIGH BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08829-2522
Mailing Address - Country:US
Mailing Address - Phone:908-328-8116
Mailing Address - Fax:
Practice Address - Street 1:2 MANNING CT
Practice Address - Street 2:
Practice Address - City:HIGH BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08829-2522
Practice Address - Country:US
Practice Address - Phone:908-328-8116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01140700225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist