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NPI Code Detail

MEDICARE: HALEY ANN BRUNSTAD MS, CCC-SLP, TSSLD

MEDICARE: HALEY ANN BRUNSTAD MS, CCC-SLP, TSSLD
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
1235Z00000XSpeech-Language Pathologist035730NY

General Provider Information

NPI Number : 1528943818
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY ANN BRUNSTAD MS, CCC-SLP, TSSLD
Provider Business Mailing Address
First Line : 2500 EAST AVE APT 5J
Second Line :
City : ROCHESTER
State : NY
Zip : 14610-3141
Country : US
Telephone Number : 716-574-8988
Fax Number :
Provider Business Practice Location Address
First Line : 350 COOPER RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-3009
Country : US
Telephone Number : 585-342-2140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2025
Last Update Date : 01/06/2026

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Directions to “ HALEY ANN BRUNSTAD MS, CCC-SLP, TSSLD” Practice Location

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