Individual
DR. DIANA FLORENCE HAYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., M.ED., ITDS,
Contact information
Practice address
4416 MACKEREL DR, SEBRING, FL 33870-8472
(863) 386-5451
Mailing address
4416 MACKEREL DR, SEBRING, FL 33870-8472
(863) 386-5451
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004719600
—
FL
05
—
811569900
—
FL
Enumeration date
01/08/2007
Last updated
04/15/2014
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