Provider Demographics
NPI:1225510324
Name:TROY, HALEY
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:TROY
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 1:80 WASHINGTON ST STE D23
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1741
Mailing Address - Country:US
Mailing Address - Phone:781-871-2212
Mailing Address - Fax:781-871-2225
Practice Address - Street 1:80 WASHINGTON ST STE D23
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1741
Practice Address - Country:US
Practice Address - Phone:781-871-2212
Practice Address - Fax:781-871-2225
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2297221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical