Individual
DEANNE HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
183 CONVER ST, WEST ST PAUL, MN 55118-2502
(612) 747-5342
Mailing address
183 CONVER ST, WEST ST PAUL, MN 55118-2502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
115778
TX
235Z00000X
Speech-Language Pathologist
Primary
415906
MN
Other
Enumeration date
06/16/2021
Last updated
03/02/2022
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