Haley R Dezelle

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

109849 Issued in TX

Practice address

715 Foxmoor Dr
Highland Village, TX 75077-7031

Phone

(903) 530-2056

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1184442998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 FOXMOOR DR",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 FOXMOOR DR",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777031",
            "telephone_number": "903-530-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEZELLE",
        "first_name": "HALEY",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Ryan Defreitas, D.C.
• Christina L Della Nebbia, PHD
• Dental Depot of Highland Village
• Dental Health Associates of Texas, PC.
• Durga B Devineni
• Discovery Diagnostics, LLC
• Tiffany Morales Drew, DDS
• Meagan Duncan, FNP-C
• Echo Behavioral Consulting, LLC
• Kathleen Quigley Eiland, DDS

• All providers in Highland Village, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.