Provider Demographics
NPI:1619643194
Name:ALLORE, HAYLEY CAROLANN
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:CAROLANN
Last Name:ALLORE
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 1:384 COVE BEACH AVE
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44054-1817
Mailing Address - Country:US
Mailing Address - Phone:440-541-8090
Mailing Address - Fax:
Practice Address - Street 1:2601 POLE AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-4303
Practice Address - Country:US
Practice Address - Phone:440-830-4041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20211623-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOH3324489OtherODE
OHCOND.20211623-SPOtherOHIO BOARD OF SPEECH AND HEARING