Healthcare Provider Details

I. General information

NPI: 1083496780
Provider Name (Legal Business Name): MRS. HAYLEY MCKENZIE HAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 E 7TH ST
PROSPER TX
75078-2545
US

IV. Provider business mailing address

5995 GORDON ST APT 1257
FRISCO TX
75034-4911
US

V. Phone/Fax

Practice location:
  • Phone: 945-678-0000
  • Fax:
Mailing address:
  • Phone: 469-879-6488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number120201
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: