Individual
HAYLEY O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
13417 REGION TRCE, ALPHARETTA, GA 30004-5103
(678) 523-9373
Mailing address
13417 REGION TRCE, ALPHARETTA, GA 30004-5103
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
PCET002895
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP011022
GA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225444821
—
GA
Enumeration date
03/30/2020
Last updated
01/04/2022
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