Provider Demographics
NPI:1891329587
Name:YEAGER, HALEY (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:HALEY
Middle Name:
Last Name:YEAGER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6525 OLD ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4129
Mailing Address - Country:US
Mailing Address - Phone:469-752-0690
Mailing Address - Fax:
Practice Address - Street 1:6525 OLD ORCHARD DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4129
Practice Address - Country:US
Practice Address - Phone:469-752-0690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX126520235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist