Individual
MRS. TANYA HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1810 4TH ST SW STE 103A, WAVERLY, IA 50677-4333
(319) 352-5726
Mailing address
1810 4TH ST SW STE 103A, WAVERLY, IA 50677-4333
(319) 352-5726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1255
IA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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