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1386211670 NPI number — HALEY SAMUELS M.S., CCC-SLP

NPI Number: 1386211670
Health Care Provider/Practitioner: HALEY SAMUELS M.S., CCC-SLP

Information about “1386211670” NPI (HALEY SAMUELS M.S., CCC-SLP) exists in 1386211670 in HTML format HTML  |  1386211670 in plain Text format TXT  |  1386211670 in PDF (Portable Document Format) PDF  |  1386211670 in an XML format XML  formats.

NPI Number : 1386211670 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386211670",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SAMUELS",
    "FirstName": "HALEY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GEORGE",
    "OtherFirstName": "HALEY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2570 LAKE RIDGE RD APT 8113",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEWISVILLE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75056-4985",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "432-230-9946",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 DUVALL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCKINNEY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75069-3210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-302-4000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/07/2021",
    "LastUpdateDate": "11/29/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225XP0200X",
          "TaxonomyName": "Pediatric Occupational Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "118036",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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