Tabitha Star Haynie M.S., CFY-SLP

NPI 1205087186 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1205087186
Gender Female
Enumeration Date 10/09/2008
Last Updated 10/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2221 DILLON RD
RETIREMENT RANCH INC OF CLOVIS
CLOVIS NM, 88101-9454, US
Phone (575) 762-4495
Fax
Business Location
2437 E 21ST ST UNIT C
CLOVIS NM, 88101-3940, US
Phone (575) 309-6324
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New Mexico
License Number C-4264
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According to our database, Mrs. Tabitha Star Haynie M.S., CFY-SLP NPI is 1205087186, taxonomy code is 235Z00000X and license number is C-4264, license state is located at New Mexico. Tabitha Star Haynie M.S., CFY-SLP physically located at 2221 Dillon Rd, Clovis NM, 88101-9454. NPI Number Tabitha Star Haynie M.S., CFY-SLP has the Individual type.

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1205087186 NPI number is provided on an as is basis without warranty of any kind. 1205087186 is maintained by the National Plan & Provider Enumeration System. The contents of Tabitha Star Haynie M.S., CFY-SLP are for informational purposes only.