Provider Demographics
NPI:1144603259
Name:HAYDEN, ANGELA (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 ELM ST STE 204
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4538
Mailing Address - Country:US
Mailing Address - Phone:775-329-7017
Mailing Address - Fax:775-323-0749
Practice Address - Street 1:343 ELM ST STE 204
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4538
Practice Address - Country:US
Practice Address - Phone:775-329-7017
Practice Address - Fax:775-323-0749
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-1837231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist