Provider Demographics
NPI:1023085537
Name:HAFFEY, NANCY (EDD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:HAFFEY
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 WEST ST
Mailing Address - Street 2:SUITE #5
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2936
Mailing Address - Country:US
Mailing Address - Phone:413-256-3393
Mailing Address - Fax:413-256-6476
Practice Address - Street 1:433 WEST ST
Practice Address - Street 2:SUITE #5
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2936
Practice Address - Country:US
Practice Address - Phone:413-256-3393
Practice Address - Fax:413-256-6476
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3319103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1898116Medicaid
MA1898116Medicaid