Provider Demographics
NPI:1700412996
Name:BUXTON, HAYLEY DREW (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:DREW
Last Name:BUXTON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 3RD ST APT 7
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-2129
Mailing Address - Country:US
Mailing Address - Phone:215-520-3885
Mailing Address - Fax:
Practice Address - Street 1:9102 BABCOCK BLVD # LL2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5819
Practice Address - Country:US
Practice Address - Phone:412-748-6467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL014693235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty