Healthcare Provider Details

I. General information

NPI: 1841824372
Provider Name (Legal Business Name): HALEY FELTY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2020
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3640 COLONEL GLENN HWY 117 HEALTH SCIENCES BLDG
DAYTON OH
45435
US

IV. Provider business mailing address

3640 COLONEL GLENN HWY 117 HEALTH SCIENCES BLDG
DAYTON OH
45435
US

V. Phone/Fax

Practice location:
  • Phone: 937-775-3458
  • Fax:
Mailing address:
  • Phone: 937-775-3458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: