Provider Demographics
NPI:1316414121
Name:HAY, KAYLEIGH E (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KAYLEIGH
Middle Name:E
Last Name:HAY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 W JANSS RD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-3328
Mailing Address - Country:US
Mailing Address - Phone:805-358-9863
Mailing Address - Fax:
Practice Address - Street 1:275 E HILLCREST DR STE 220
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-8240
Practice Address - Country:US
Practice Address - Phone:818-707-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist