Provider Demographics
NPI:1053655241
Name:HAYES, ELIZABETH P (SLP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:P
Last Name:HAYES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SCAMMON ST
Mailing Address - Street 2:SUITE 19
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-5121
Mailing Address - Country:US
Mailing Address - Phone:978-358-8624
Mailing Address - Fax:978-358-8625
Practice Address - Street 1:7 PRINCE PL
Practice Address - Street 2:SUITE 400
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2615
Practice Address - Country:US
Practice Address - Phone:978-358-8624
Practice Address - Fax:978-358-8625
Is Sole Proprietor?:No
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MASP8738SL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist