Provider Demographics
NPI:1871142612
Name:LE ROY, HALEY ANN
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:ANN
Last Name:LE ROY
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 1:7746 COUNTY ROAD 140
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1792
Mailing Address - Country:US
Mailing Address - Phone:419-422-7525
Mailing Address - Fax:
Practice Address - Street 1:7746 COUNTY ROAD 140
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1792
Practice Address - Country:US
Practice Address - Phone:419-422-7525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20191059-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist