Provider Demographics
NPI:1710262985
Name:SKAGGS, HALEY A
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:A
Last Name:SKAGGS
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 1:7151 COUNTY ROAD 9900
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-6729
Mailing Address - Country:US
Mailing Address - Phone:870-371-0311
Mailing Address - Fax:
Practice Address - Street 1:410 GOLDSMITH AVE
Practice Address - Street 2:
Practice Address - City:MAMMOTH SPRING
Practice Address - State:AR
Practice Address - Zip Code:72554-8045
Practice Address - Country:US
Practice Address - Phone:870-652-7213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant