Provider Demographics
NPI:1619489499
Name:MCDOUGALL, HALEY (MA)
Entity Type:Individual
Prefix:MS
First Name:HALEY
Middle Name:
Last Name:MCDOUGALL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CORPORATE DRIVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065
Mailing Address - Country:US
Mailing Address - Phone:518-212-7559
Mailing Address - Fax:518-734-0265
Practice Address - Street 1:7 CORPORATE DRIVE
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065
Practice Address - Country:US
Practice Address - Phone:518-212-7559
Practice Address - Fax:518-734-0265
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst