Provider Demographics
NPI:1013409226
Name:MAHAFFEY, HALEIGH SWIERSKI
Entity Type:Individual
Prefix:
First Name:HALEIGH
Middle Name:SWIERSKI
Last Name:MAHAFFEY
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 1:3104 SKINNER MILL RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-1968
Mailing Address - Country:US
Mailing Address - Phone:706-522-4222
Mailing Address - Fax:
Practice Address - Street 1:3104 SKINNER MILL RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-1968
Practice Address - Country:US
Practice Address - Phone:706-522-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010167235Z00000X
SC6345235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist