Provider Demographics
NPI:1689383150
Name:BROWN, HAILEY DAWN (MA/CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HAILEY
Middle Name:DAWN
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:MISS
Other - First Name:HAILEY
Other - Middle Name:DAWN
Other - Last Name:BITTINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:107 GREEN OAKS DR APT 314
Mailing Address - Street 2:
Mailing Address - City:EDINBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16412-2825
Mailing Address - Country:US
Mailing Address - Phone:304-612-2741
Mailing Address - Fax:
Practice Address - Street 1:5220 STREAMWOOD DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-3919
Practice Address - Country:US
Practice Address - Phone:814-882-0761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL016721235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist