Hailey May Adler, SLP
Individual provider Active NPI Speech-Language Pathologist · South Bend, IN
NPI 1487300315 · NPPES record last updated Mar 1, 2022
Key facts
- NPI
- 1487300315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 46003889A (IN)
- Practice address
- 53940 Carmichael Dr
South Bend, IN 46635-1564 - Phone
- (574) 335-6212
- NPI assigned
- Mar 1, 2022
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 46003889A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 46003889A | IN | Yes |
Addresses
Primary practice location
53940 Carmichael Dr
South Bend, IN 46635-1564
Mailing address
53940 Carmichael Dr
South Bend, IN 46635-1564
Phone (574) 335-6212
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All providers in South Bend, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.