Provider Demographics
NPI:1033820626
Name:WILSON, HALEY DOROTHEA (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:DOROTHEA
Last Name:WILSON
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:DOROTHEA
Other - Last Name:FOLLANSBEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28 BURBANK RD
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3170
Mailing Address - Country:US
Mailing Address - Phone:603-490-9708
Mailing Address - Fax:
Practice Address - Street 1:1 W RUNNING BROOK LN
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-4143
Practice Address - Country:US
Practice Address - Phone:603-432-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHP-0895235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist