Individual
DOMINIQUE ELAINE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 E BOOKER DAIRY RD, SMITHFIELD, NC 27577-9405
(919) 938-3824
Mailing address
1660 E BOOKER DAIRY RD, SMITHFIELD, NC 27577-9405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30000811
NC
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
04/14/2026
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