Provider Demographics
NPI:1639260284
Name:CORRALES, HAYLEE (PSYD)
Entity type:Individual
Prefix:DR
First Name:HAYLEE
Middle Name:
Last Name:CORRALES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:HELMIN
Other - Middle Name:
Other - Last Name:CORRALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFTI
Mailing Address - Street 1:9712 RENNES LN
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2329
Mailing Address - Country:US
Mailing Address - Phone:310-341-5431
Mailing Address - Fax:
Practice Address - Street 1:3200 MOTOR AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-3710
Practice Address - Country:US
Practice Address - Phone:310-466-5706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12205103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical