Individual
HAYLEE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP/L
Contact information
Practice address
1704 W AIKEN AVE, PEORIA, IL 61605-1701
(309) 672-6574
Mailing address
1704 W AIKEN AVE, PEORIA, IL 61605-1701
(309) 672-6574
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004952
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242004952
—
IL
Enumeration date
09/17/2018
Last updated
09/17/2018
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