Provider Demographics
NPI:1790071785
Name:MARCHESE, HALLEY (MA, CF-SLP)
Entity Type:Individual
Prefix:MISS
First Name:HALLEY
Middle Name:
Last Name:MARCHESE
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12555 FRY RD
Mailing Address - Street 2:
Mailing Address - City:EDINBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16412-1260
Mailing Address - Country:US
Mailing Address - Phone:814-734-7307
Mailing Address - Fax:
Practice Address - Street 1:8300 RIDGE RD
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:PA
Practice Address - Zip Code:16417-8701
Practice Address - Country:US
Practice Address - Phone:814-474-5521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist