Provider Demographics
NPI:1679217384
Name:GLOBKE, HALEY ISABELL
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:ISABELL
Last Name:GLOBKE
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 1:584 E BELLEVUE RD
Mailing Address - Street 2:
Mailing Address - City:ATWATER
Mailing Address - State:CA
Mailing Address - Zip Code:95301-2300
Mailing Address - Country:US
Mailing Address - Phone:559-747-2177
Mailing Address - Fax:
Practice Address - Street 1:584 E BELLEVUE RD
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301-2300
Practice Address - Country:US
Practice Address - Phone:559-747-2177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician