Provider Demographics
NPI:1164977856
Name:ATHEY, HALEY (AUD)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:ATHEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 W DALLAS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-1704
Mailing Address - Country:US
Mailing Address - Phone:713-523-3633
Mailing Address - Fax:713-523-8399
Practice Address - Street 1:1904 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5632
Practice Address - Country:US
Practice Address - Phone:336-271-4840
Practice Address - Fax:713-523-8399
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80903231H00000X, 237600000X, 237700000X
NC14343231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist