Haller, Timothy Leonard

Haller, Timothy Leonard is an individual health care provider with primary practice located at 47 Blaisdell Ave , Ravena NY 12143. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Haller, Timothy Leonard can be contacted via phone (518) 334-9546.

Contact Information

Primary practice address
47 Blaisdell Ave Ravena NY 12143
Phone: (518) 334-9546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 005527 New York

Profile Details

NPI number 1285703041
LBN Legal business name Haller, Timothy Leonard
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Oct 6th, 2021 - about 4 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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