Provider Demographics
NPI:1336868983
Name:EICHELBERGER, HALEY RAE
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:RAE
Last Name:EICHELBERGER
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 1:402 FOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SNOW SHOE
Mailing Address - State:PA
Mailing Address - Zip Code:16874-8810
Mailing Address - Country:US
Mailing Address - Phone:814-574-5453
Mailing Address - Fax:
Practice Address - Street 1:2437 COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7454
Practice Address - Country:US
Practice Address - Phone:814-234-9771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered