Provider Demographics
NPI:1467937037
Name:WOOLSEY, HALEY MALYNN (MT-BC)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:MALYNN
Last Name:WOOLSEY
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4660 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-2517
Mailing Address - Country:US
Mailing Address - Phone:940-867-1237
Mailing Address - Fax:
Practice Address - Street 1:4660 BRIARWOOD DR
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-2517
Practice Address - Country:US
Practice Address - Phone:940-867-1237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-30
Last Update Date:2018-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist