Provider Demographics
NPI:1336381805
Name:THOMAS, HALEY COBB (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:COBB
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 N CENTRAL EXPY STE 212
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5487
Mailing Address - Country:US
Mailing Address - Phone:214-923-6350
Mailing Address - Fax:
Practice Address - Street 1:2000 N CENTRAL EXPY STE 212
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5487
Practice Address - Country:US
Practice Address - Phone:972-422-6968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19343235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist