Individual
MRS. TINA SOUTHARD HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4325 LAUREL ST, ANCHORAGE, AK 99508-5364
(907) 569-5666
Mailing address
4325 LAUREL ST, ANCHORAGE, AK 99508-5364
(907) 569-5666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
266
AK
235Z00000X
Speech-Language Pathologist
LL00003123
WA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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