Provider Demographics
NPI:1558120444
Name:WALKER, HAILEY SKYE (BS/HIS)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:SKYE
Last Name:WALKER
Suffix:
Gender:F
Credentials:BS/HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4916 NASSAU CIR
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-2126
Mailing Address - Country:US
Mailing Address - Phone:918-206-5400
Mailing Address - Fax:
Practice Address - Street 1:6550 E 71ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2756
Practice Address - Country:US
Practice Address - Phone:918-388-6644
Practice Address - Fax:918-388-6645
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKHADF1414237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter