Individual
MS. HALEY THEODOSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
1475 CAPITOL ST NE, SALEM, OR 97301-7850
(971) 599-1712
Mailing address
1475 CAPITOL ST NE, SALEM, OR 97301-7850
(971) 599-1712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016238
OR
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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