Provider Demographics
NPI:1568660041
Name:HALEY, GAY LYONS (PHD)
Entity Type:Individual
Prefix:DR
First Name:GAY
Middle Name:LYONS
Last Name:HALEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 PEACHTREE ST NW
Mailing Address - Street 2:SUITE 205, THE BROOKWOOD EXCHANGE BLDG.
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2434
Mailing Address - Country:US
Mailing Address - Phone:404-874-5291
Mailing Address - Fax:404-881-6743
Practice Address - Street 1:1708 PEACHTREE ST NW
Practice Address - Street 2:SUITE 205, THE BROOKWOOD EXCHANGE BLDG.
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2434
Practice Address - Country:US
Practice Address - Phone:404-874-5291
Practice Address - Fax:404-881-6743
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA903103TB0200X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool