Individual
JENNIFER E HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
19350 CARRIAGE CT, MOUNDS, OK 74047-4767
(918) 366-2693
(918) 366-2684
Mailing address
19350 CARRIAGE CT, MOUNDS, OK 74047-4767
(918) 724-9318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2363
OK
Other
Enumeration date
04/16/2007
Last updated
01/22/2015
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