Provider Demographics
NPI:1811675648
Name:DICKENS, HALEY ELAINE (DC)
Entity type:Individual
Prefix:DR
First Name:HALEY
Middle Name:ELAINE
Last Name:DICKENS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:HALEY
Other - Middle Name:E
Other - Last Name:DICKENS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:638 LONDONDERRY LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5379
Mailing Address - Country:US
Mailing Address - Phone:940-565-8118
Mailing Address - Fax:
Practice Address - Street 1:638 LONDONDERRY LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5379
Practice Address - Country:US
Practice Address - Phone:940-565-8118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor