Provider Demographics
NPI:1497187900
Name:WHEELER, HALEY M (MA CCC - SLP)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:M
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MA CCC - SLP
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC - SLP
Mailing Address - Street 1:50 HOSPITAL HILL RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:CT
Mailing Address - Zip Code:06069
Mailing Address - Country:US
Mailing Address - Phone:860-364-4065
Mailing Address - Fax:860-567-3381
Practice Address - Street 1:50 HOSPITAL HILL RD
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:CT
Practice Address - Zip Code:06069
Practice Address - Country:US
Practice Address - Phone:860-364-4065
Practice Address - Fax:860-567-3381
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4696235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist