Healthcare Provider Details

I. General information

NPI: 1558284976
Provider Name (Legal Business Name): HAILEY FOX MUMMA PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

778 N DEAN RD STE 300
AUBURN AL
36830-4315
US

IV. Provider business mailing address

778 N DEAN RD STE 300
AUBURN AL
36830-4315
US

V. Phone/Fax

Practice location:
  • Phone: 334-219-0425
  • Fax:
Mailing address:
  • Phone: 334-219-0425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2474
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: