Organization
AMY C. HAVENOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY C. HAVENOR CCC/SLP (OWNER)
(972) 387-1100
Entity
Organization
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
—
—
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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