Provider Demographics
NPI:1821526500
Name:COLBY, HALEY ALISON (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:ALISON
Last Name:COLBY
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3139 BLUESTEM DR STE 108
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-8060
Mailing Address - Country:US
Mailing Address - Phone:701-866-4934
Mailing Address - Fax:701-718-9141
Practice Address - Street 1:3139 BLUESTEM DR STE 108
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-8060
Practice Address - Country:US
Practice Address - Phone:701-866-4934
Practice Address - Fax:701-718-9141
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-25
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1568235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist