Provider Demographics
NPI:1164892576
Name:KAMIS, HAYLEY ANN
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:ANN
Last Name:KAMIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:ANN
Other - Last Name:CAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:58 SPRINGHOLM DR
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2730
Mailing Address - Country:US
Mailing Address - Phone:908-625-8161
Mailing Address - Fax:
Practice Address - Street 1:535 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-2002
Practice Address - Country:US
Practice Address - Phone:908-312-5315
Practice Address - Fax:908-829-0671
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2017-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00312300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist