Provider Demographics
NPI:1871118331
Name:BAEHL, HALEE
Entity type:Individual
Prefix:
First Name:HALEE
Middle Name:
Last Name:BAEHL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 INTERCHANGE RD S STE A
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-8210
Mailing Address - Country:US
Mailing Address - Phone:812-477-5000
Mailing Address - Fax:
Practice Address - Street 1:6500 INTERCHANGE RD S STE A
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-8210
Practice Address - Country:US
Practice Address - Phone:812-477-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22007383A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist