Provider Demographics
NPI:1811877038
Name:COMPTON, HAILEY BROOKE
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:BROOKE
Last Name:COMPTON
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 1:1020 N PROUTY AVE
Mailing Address - Street 2:
Mailing Address - City:WATONGA
Mailing Address - State:OK
Mailing Address - Zip Code:73772-1626
Mailing Address - Country:US
Mailing Address - Phone:580-623-0263
Mailing Address - Fax:
Practice Address - Street 1:1020 N PROUTY AVE
Practice Address - Street 2:
Practice Address - City:WATONGA
Practice Address - State:OK
Practice Address - Zip Code:73772-1626
Practice Address - Country:US
Practice Address - Phone:580-623-0263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator