Provider Demographics
NPI:1265146658
Name:GILBERT, HALEY MICHELLE
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:MICHELLE
Last Name:GILBERT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:MICHELLE
Other - Last Name:DURAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 W POWNAL RD APT B
Mailing Address - Street 2:
Mailing Address - City:NORTH YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04097-6817
Mailing Address - Country:US
Mailing Address - Phone:617-913-8352
Mailing Address - Fax:
Practice Address - Street 1:28 HIGH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:ME
Practice Address - Zip Code:04357-1332
Practice Address - Country:US
Practice Address - Phone:207-737-4748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-009037225X00000X
MEOT3915225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist