Provider Demographics
NPI:1801326368
Name:SEELEY, HALEY (LSW)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:SEELEY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 EAST MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:PA
Mailing Address - Zip Code:17724
Mailing Address - Country:US
Mailing Address - Phone:570-673-8662
Mailing Address - Fax:570-673-4904
Practice Address - Street 1:425 EAST MAIN ST.
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:PA
Practice Address - Zip Code:17724
Practice Address - Country:US
Practice Address - Phone:570-673-8662
Practice Address - Fax:570-673-4904
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134010104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker