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NPI Code Detail

MEDICARE: HALEY ELIZABETH KOEHLER

MEDICARE: HALEY ELIZABETH KOEHLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1720750870
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY ELIZABETH KOEHLER
Provider Business Mailing Address
First Line : 2675 COURT DR # B
Second Line :
City : GASTONIA
State : NC
Zip : 28054-1478
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 MARKET ST STE 110
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-0448
Country : US
Telephone Number : 984-528-8787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2021
Last Update Date : 09/28/2021

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Directions to “ HALEY ELIZABETH KOEHLER ” Practice Location

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