Provider Demographics
NPI:1578235727
Name:SIMMONS, HALEY LANE
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:LANE
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 BOSQUE DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-3734
Mailing Address - Country:US
Mailing Address - Phone:512-705-0375
Mailing Address - Fax:
Practice Address - Street 1:419 BOIS DARC ST
Practice Address - Street 2:
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644-2341
Practice Address - Country:US
Practice Address - Phone:512-398-0260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist