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Individual

DEBORAH HAYHURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
3901 MEREDITH AVE, DALLAS, TX 75211-4761
(214) 945-5644
Mailing address
5322 MONTROSE DR, DALLAS, TX 75209-5616
(214) 945-5644

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
116920
TX
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116920
TDLR
TX
Enumeration date
08/27/2021
Last updated
10/25/2022
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