Provider Demographics
NPI:1053925818
Name:VARJU, HALEY (SLP)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:VARJU
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-1273
Mailing Address - Country:US
Mailing Address - Phone:484-903-8718
Mailing Address - Fax:
Practice Address - Street 1:7599 BETH BATH PIKE
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:PA
Practice Address - Zip Code:18014-8968
Practice Address - Country:US
Practice Address - Phone:610-365-8989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty