Individual
STACY LEIGH HAYES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 WOODLAND AVE, FAYETTEVILLE, AR 72703
(479) 443-4420
Mailing address
74 E 26TH CIR, FAYETTEVILLE, AR 72701-7551
(479) 582-5986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1563
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W864
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
05/08/2006
Last updated
07/08/2007
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