Healthcare Provider Details
I. General information
NPI: 1942745542
Provider Name (Legal Business Name): HAYLEY DOWNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/05/2017
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4615 CHADWICK RD
CEDAR FALLS IA
50613-8090
US
IV. Provider business mailing address
4512 QUESADA CT
CEDAR FALLS IA
50613-6337
US
V. Phone/Fax
- Phone: 319-255-5660
- Fax:
- Phone: 319-240-3021
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 082598 |
| License Number State | IA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: