Provider Demographics
NPI:1316398886
Name:BRADY, HAYLEY ELLEN
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:ELLEN
Last Name:BRADY
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 1:1165 MARCUS DR
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-1013
Mailing Address - Country:US
Mailing Address - Phone:610-970-6988
Mailing Address - Fax:
Practice Address - Street 1:1165 MARCUS DR
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-1013
Practice Address - Country:US
Practice Address - Phone:610-970-6988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)