Provider Demographics
NPI:1275947418
Name:WEDMORE, HALEY VERONICA (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:VERONICA
Last Name:WEDMORE
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 WESTOWN PKWY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-7707
Mailing Address - Country:US
Mailing Address - Phone:515-306-1031
Mailing Address - Fax:515-401-1086
Practice Address - Street 1:6600 WESTOWN PKWY
Practice Address - Street 2:SUITE 240
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-7707
Practice Address - Country:US
Practice Address - Phone:515-306-1031
Practice Address - Fax:515-401-1086
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000353106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist