Provider Demographics
NPI:1932568664
Name:BIRDWELL, HAYLEY MARIE (BA, MA)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:MARIE
Last Name:BIRDWELL
Suffix:
Gender:F
Credentials:BA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6120 34TH ST NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-7205
Mailing Address - Country:US
Mailing Address - Phone:303-476-8007
Mailing Address - Fax:
Practice Address - Street 1:6120 34TH ST NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-7205
Practice Address - Country:US
Practice Address - Phone:303-476-8007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health