Individual
MRS. AMY C HAVENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC, SLP
Contact information
Practice address
12880 HILLCREST RD STE 102, DALLAS, TX 75230-1501
(972) 387-1100
(972) 692-7332
Mailing address
12880 HILLCREST RD STE 102, DALLAS, TX 75230-1501
(972) 387-1100
(972) 692-7332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17635
TX
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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