Provider Demographics
NPI:1033780747
Name:HAYMAN, BROOKE
Entity Type:Individual
Prefix:MISS
First Name:BROOKE
Middle Name:
Last Name:HAYMAN
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 1:509 W 121ST ST APT 211
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-5907
Mailing Address - Country:US
Mailing Address - Phone:302-757-9885
Mailing Address - Fax:
Practice Address - Street 1:509 W 121ST ST APT 211
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-5907
Practice Address - Country:US
Practice Address - Phone:302-757-9885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-03
Last Update Date:2021-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist