Provider Demographics
NPI:1053117085
Name:WALSMAN, HALEY
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:WALSMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 N LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-7921
Mailing Address - Country:US
Mailing Address - Phone:317-474-8512
Mailing Address - Fax:
Practice Address - Street 1:189 N LOVERS LN
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-7921
Practice Address - Country:US
Practice Address - Phone:317-474-8512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician