Provider Demographics
NPI:1033317987
Name:HALEY BAILEY, MELINDA ANN (PHD)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:ANN
Last Name:HALEY BAILEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:ANN
Other - Last Name:HALEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 51005
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206
Mailing Address - Country:US
Mailing Address - Phone:505-639-2582
Mailing Address - Fax:
Practice Address - Street 1:611 THORTON ST
Practice Address - Street 2:
Practice Address - City:COTULLA
Practice Address - State:TX
Practice Address - Zip Code:78014
Practice Address - Country:US
Practice Address - Phone:830-879-3047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional