Individual
DR. CHARLES S HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2102 E 38TH ST, DAVENPORT, IA 52807-1135
(563) 359-4049
Mailing address
2102 E 38TH ST, DAVENPORT, IA 52807-1135
(563) 359-4049
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00202
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108750000
—
IA
Enumeration date
08/02/2006
Last updated
07/08/2007
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