Provider Demographics
NPI:1174782866
Name:HAELSIG, PATRICIA CAHILL (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:CAHILL
Last Name:HAELSIG
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11704
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-5704
Mailing Address - Country:US
Mailing Address - Phone:206-780-7782
Mailing Address - Fax:
Practice Address - Street 1:11290 SUNRISE DR NE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-1353
Practice Address - Country:US
Practice Address - Phone:206-780-7782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004499235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist