Basic Information
| Provider Information | |||||||||
| NPI: | 1023606662 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GEIGER | ||||||||
| FirstName: | HALEY | ||||||||
| MiddleName: | BAUD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 SKILES BLVD | ||||||||
| Address2: | |||||||||
| City: | WEST CHESTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193827321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8005787906 | ||||||||
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| Practice Location | |||||||||
| Address1: | 224 HESPER AVE | ||||||||
| Address2: | |||||||||
| City: | METAIRIE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700053761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5047587231 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/08/2021 | ||||||||
| LastUpdateDate: | 01/08/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SP-30308 | CA | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | SP-1876 | HI | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
ID Information
| ID | Type | State | Issuer | Description | 010416083 | 01 | LA | DRIVER'S LICENSE | OTHER |