Individual
MRS. HALEY SHAE BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3354 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 244-3552
(229) 244-7030
Mailing address
3354 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 244-3552
(229) 244-7030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002666
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PCET002666
—
GA
Enumeration date
03/01/2018
Last updated
05/26/2022
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