Bassett, Haley Shae

Bassett, Haley Shae is an sole proprietor health care provider with primary practice located at 3354 Greystone Way , Valdosta GA 31605-1096. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bassett, Haley Shae can be contacted via phone (229) 244-3552.

Contact Information

Primary practice address
3354 Greystone Way Valdosta GA 31605-1096
Fax: (229) 244-7030
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X PCET002666 Georgia

Profile Details

NPI number 1205338712
LBN Legal business name Bassett, Haley Shae
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2018
Last updated May 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205338712 NPPES
Georgia MEDICAID PCET002666

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