Individual
MR. HALEY FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 559-1860
Mailing address
2914 LINDA DR, NEW ALBANY, IN 47150-4336
(618) 262-1534
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242374
KY
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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