Provider Demographics
NPI:1992777239
Name:CARTER, HALEY MERLE (MS CCC-A)
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:MERLE
Last Name:CARTER
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:MERLE
Other - Last Name:WYSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:15896 ARBOR GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-7957
Mailing Address - Country:US
Mailing Address - Phone:317-774-8667
Mailing Address - Fax:
Practice Address - Street 1:715 S RANGE LINE RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2537
Practice Address - Country:US
Practice Address - Phone:317-848-4440
Practice Address - Fax:317-848-4426
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002311A237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000335555OtherBCBS-GM
INP00029726OtherMEDICARE RAILROAD
IN000000335555OtherBCBS-GM