Provider Demographics
NPI:1982171336
Name:RECTOR, HALEY S (HEARING AID DEALER)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:S
Last Name:RECTOR
Suffix:
Gender:F
Credentials:HEARING AID DEALER
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:S
Other - Last Name:DECKARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HEARING AID DEALER
Mailing Address - Street 1:4350 S US HIGHWAY 41
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-4407
Mailing Address - Country:US
Mailing Address - Phone:812-233-6021
Mailing Address - Fax:
Practice Address - Street 1:4350 S US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4407
Practice Address - Country:US
Practice Address - Phone:812-233-6021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001498A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist