Provider Demographics
NPI:1861040453
Name:ADAIR, HALEY (MA, LLP)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:ADAIR
Suffix:
Gender:F
Credentials:MA, LLP
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:BRAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LLP
Mailing Address - Street 1:2500 KERRY ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3657
Mailing Address - Country:US
Mailing Address - Phone:517-273-2706
Mailing Address - Fax:
Practice Address - Street 1:2500 KERRY ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3657
Practice Address - Country:US
Practice Address - Phone:517-273-2706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301018055103TC0700X
MI6362002364103TC0700X
MI6361007571103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical