Provider Demographics
NPI:1114690393
Name:DENNA, HAYLEY (SLPA)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:DENNA
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 FLORENCE DR APT E
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-2722
Mailing Address - Country:US
Mailing Address - Phone:630-903-9432
Mailing Address - Fax:
Practice Address - Street 1:1112 FLORENCE DR APT E
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-2722
Practice Address - Country:US
Practice Address - Phone:630-903-9432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2170003562355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant