MEDICARE: HALEY SIMPSON M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	7144	TN
2	235Z00000X	Speech-Language Pathologist	146.017296	IL

General Provider Information

NPI Number	:	1235741422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY SIMPSON M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	410 E LE FEVRE RD
Second Line	:
City	:	STERLING
State	:	IL
Zip	:	61081-1391
Country	:	US
Telephone Number	:	815-625-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 E LEFEVRE RD
Second Line	:
City	:	STERLING
State	:	IL
Zip	:	61081-1391
Country	:	US
Telephone Number	:	815-625-6800
Fax Number	:	865-769-0801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	09/05/2024

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Directions to “ HALEY SIMPSON M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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