Provider Demographics
NPI:1437194511
Name:TITI, HAYLEY A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:A
Last Name:TITI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:A
Other - Last Name:GRIBBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6349
Practice Address - Street 1:3550 CONCORD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8626
Practice Address - Country:US
Practice Address - Phone:717-851-6340
Practice Address - Fax:717-851-6349
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015375103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA494095OtherVALUE OPTIONS
PA524308OtherPA BLUE SHIELD
PA50018389OtherCAPITAL BLUE CROSS
PA2168956OtherCIGNA BEHAV HEALTH
PA2115349OtherMAMSI
PA588510000OtherMAGELLAN
PA633930OtherCAREFIRST BC/BS OF MARYLA
PA2115349OtherMAMSI
PAP98517Medicare UPIN