Provider Demographics
NPI:1528211513
Name:WOLOWIEC, HALLEY K (EDM, MA)
Entity Type:Individual
Prefix:
First Name:HALLEY
Middle Name:K
Last Name:WOLOWIEC
Suffix:
Gender:F
Credentials:EDM, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 NEWARK ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-7123
Mailing Address - Country:US
Mailing Address - Phone:917-459-1911
Mailing Address - Fax:
Practice Address - Street 1:329 EAST 62ND STREET
Practice Address - Street 2:KAREN HORNEY CLINIC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-838-4333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program