Individual
MR. SAMUEL HASKIN ALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
678 14TH CT, COOS BAY, OR 97420-4469
(541) 260-2106
Mailing address
PO BOX 4301, COOS BAY, OR 97420-0520
(541) 260-2106
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
70492
OR
Other
Enumeration date
02/13/2015
Last updated
12/15/2022
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