Provider Demographics
NPI:1457959611
Name:SPRIGGS, HAYLEY MARIE (MT-BC)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:MARIE
Last Name:SPRIGGS
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 BRENDON LAKE DR APT 209
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-1924
Mailing Address - Country:US
Mailing Address - Phone:407-621-1322
Mailing Address - Fax:
Practice Address - Street 1:1515 BRENDON LAKE DR APT 209
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-1924
Practice Address - Country:US
Practice Address - Phone:407-621-1322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-11
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
15299225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty