NPI 1114300399 · live from the CMS NPI Registry
Tina Southard Hayes, M.A.
Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1114300399, active.
NPI record
| NPI | 1114300399 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 4325 Laurel St, Anchorage, AK 99508 |
| Practice phone | 907-569-5666 |
| Enumerated | July 7, 2015 |
| Last updated | July 7, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 266 (AK) |
| Speech-Language Pathologist, | 235Z00000X | LL00003123 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.