Provider Demographics
NPI:1619227204
Name:HAIGH, MARY KATHRYN
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:KATHRYN
Last Name:HAIGH
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 1:402 EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-7244
Mailing Address - Country:US
Mailing Address - Phone:412-896-4378
Mailing Address - Fax:412-896-4378
Practice Address - Street 1:402 EUCLID ST
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-7244
Practice Address - Country:US
Practice Address - Phone:412-896-4378
Practice Address - Fax:412-896-4378
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9704973172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker