Individual
HALEY NICOLE WILLMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
187 TANK FARM RD STE 210, SAN LUIS OBISPO, CA 93401-7085
(805) 547-1755
Mailing address
1060 BLUEBELL WAY, SAN LUIS OBISPO, CA 93401-7648
(805) 722-2054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
31958
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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