Provider Demographics
NPI:1013251891
Name:VINCENT, HAYLEY LUREE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HAYLEY
Middle Name:LUREE
Last Name:VINCENT
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:LUREE
Other - Last Name:HEIMGARTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:4012 TWILIGHT CT
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301
Mailing Address - Country:US
Mailing Address - Phone:509-543-6770
Mailing Address - Fax:
Practice Address - Street 1:1215 WEST LEWIS ST.
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-8019
Practice Address - Country:US
Practice Address - Phone:509-543-6770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist