Provider Demographics
NPI:1134548969
Name:FELDHAUS, HAILEY (MACCC-SLP, CBIS)
Entity type:Individual
Prefix:MS
First Name:HAILEY
Middle Name:
Last Name:FELDHAUS
Suffix:
Gender:F
Credentials:MACCC-SLP, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 E JOYCE BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-5249
Mailing Address - Country:US
Mailing Address - Phone:479-358-7819
Mailing Address - Fax:479-957-9111
Practice Address - Street 1:1706 E JOYCE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5249
Practice Address - Country:US
Practice Address - Phone:479-358-7819
Practice Address - Fax:479-957-9111
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR14042224235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist