Provider Demographics
NPI:1205519956
Name:MEYER-COHON, HAILEY RACHELLE (DACM, LAC)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:RACHELLE
Last Name:MEYER-COHON
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 BERYL ST APT 4
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-2052
Mailing Address - Country:US
Mailing Address - Phone:831-578-2399
Mailing Address - Fax:
Practice Address - Street 1:8950 VILLA LA JOLLA DR STE B129
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1731
Practice Address - Country:US
Practice Address - Phone:858-529-5512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist