Provider Demographics
NPI:1659899854
Name:BRUCE, HALEY ANNE (AUD)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:ANNE
Last Name:BRUCE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 PRINCE ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-2948
Mailing Address - Country:US
Mailing Address - Phone:404-556-5567
Mailing Address - Fax:
Practice Address - Street 1:1305 YORK AVE FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5663
Practice Address - Country:US
Practice Address - Phone:646-962-2231
Practice Address - Fax:404-556-5567
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002714-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist