Provider Demographics
NPI:1881436640
Name:BELL, HALEY JEAN (SLP)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:JEAN
Last Name:BELL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2289 EVERSULL LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-8085
Mailing Address - Country:US
Mailing Address - Phone:319-330-0283
Mailing Address - Fax:
Practice Address - Street 1:740 COMMUNITY DR UNIT A
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-6707
Practice Address - Country:US
Practice Address - Phone:319-626-2553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA109110235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist