Carlock, Haley

Carlock, Haley is an individual health care provider with primary practice located at 1155 Ford Rd Suite B, St Louis Park MN 55426-1099. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Carlock, Haley can be contacted via phone (952) 378-1800.

Contact Information

Primary practice address
1155 Ford Rd Suite B St Louis Park MN 55426-1099
Phone: (952) 378-1800
Fax: (952) 378-1714
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP 4630 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R 197063-4 Minnesota

Profile Details

NPI number 1013364199
LBN Legal business name Carlock, Haley
Credentials DNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2016
Last updated Apr 26th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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