Individual
CODY HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 GROVE CLOVER LN, MONTGOMERY, TX 77316-1521
(817) 343-8048
Mailing address
135 GROVE CLOVER LN, MONTGOMERY, TX 77316-1521
(817) 343-8048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12142786
TX
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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