Provider Demographics
NPI:1487205795
Name:MULHERIN, HALEY (MS CF- SLP)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:MULHERIN
Suffix:
Gender:F
Credentials:MS CF- SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4502 E INDIAN SCHOOL RD APT 311
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5456
Mailing Address - Country:US
Mailing Address - Phone:570-677-8504
Mailing Address - Fax:
Practice Address - Street 1:463 S ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-1014
Practice Address - Country:US
Practice Address - Phone:480-472-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP12103235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist