Individual
ALLY MACKENZIE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10215 BROADWAY, CROWN POINT, IN 46307-8001
(219) 661-6133
Mailing address
10215 BROADWAY, CROWN POINT, IN 46307-8001
(219) 661-6133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007139A
IN
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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