Provider Demographics
NPI:1407331903
Name:HAYS, KEIRA (PHD)
Entity Type:Individual
Prefix:
First Name:KEIRA
Middle Name:
Last Name:HAYS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KEIRA
Other - Middle Name:
Other - Last Name:O'DELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:12811 QUAIL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3300
Mailing Address - Country:US
Mailing Address - Phone:720-323-1802
Mailing Address - Fax:
Practice Address - Street 1:2455 S BRAESWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4305
Practice Address - Country:US
Practice Address - Phone:713-383-5667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36889103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist