Hayley Harris

Individual provider Active NPI Speech-Language Pathologist · Berea, KY

NPI 1316638612 · NPPES record last updated May 17, 2023

Key facts

NPI
1316638612
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
285299 (KY)
Practice address
752 Richmond Rd N
Berea, KY 40403-1059
Phone
(859) 353-3666
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
285299KYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 285299 KY Yes

Addresses

Primary practice location

752 Richmond Rd N
Berea, KY 40403-1059

Mailing address

517 3Rd St
Ravenna, KY 40472-1407

Other providers in Berea, KY

All providers in Berea, KY · Speech-Language Pathologist in Kentucky

Sources for this page

Verify at the official NPI Registry.