Provider Demographics
NPI:1740060987
Name:WALDROP, HAYLEE (MS)
Entity type:Individual
Prefix:
First Name:HAYLEE
Middle Name:
Last Name:WALDROP
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 HOLLY SPRINGS RD # 314
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9030
Mailing Address - Country:US
Mailing Address - Phone:919-201-1178
Mailing Address - Fax:
Practice Address - Street 1:1252 BERRY CREEK DR UNIT 206
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7539
Practice Address - Country:US
Practice Address - Phone:864-345-9352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
8075235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist