Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | C8806 | MS |
N | 1041C0700X | Clinical Social Worker | S.0800795 | OH |
NPI | 1003126608 |
---|---|
Provider Name | Amy N Haffey |
First Address | Ocean Springs, MS 39564-5858 |
Second Address | Ocean Springs, MS 39564-5858 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2010 |
Last Update Date | 13/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0268768 | (05) | OH |