Provider Demographics
NPI:1932459518
Name:ELDER, HALEY KATHLEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:KATHLEEN
Last Name:ELDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 TUNNEL RD
Mailing Address - Street 2:UNIT 7A
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2056
Mailing Address - Country:US
Mailing Address - Phone:828-350-1177
Mailing Address - Fax:
Practice Address - Street 1:1085 TUNNEL RD
Practice Address - Street 2:UNIT 7A
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2056
Practice Address - Country:US
Practice Address - Phone:828-350-1177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019768-1103TC0700X
NC4653103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical