Provider Demographics
NPI:1265131197
Name:ARTEAGA, HALEY LAWAN
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:LAWAN
Last Name:ARTEAGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 COMANCHE LN
Mailing Address - Street 2:
Mailing Address - City:RANSOM CANYON
Mailing Address - State:TX
Mailing Address - Zip Code:79366-2211
Mailing Address - Country:US
Mailing Address - Phone:214-632-6945
Mailing Address - Fax:
Practice Address - Street 1:17 COMANCHE LN
Practice Address - Street 2:
Practice Address - City:RANSOM CANYON
Practice Address - State:TX
Practice Address - Zip Code:79366-2211
Practice Address - Country:US
Practice Address - Phone:214-632-6945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113393235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist