Provider Demographics
NPI:1437892130
Name:DOE, VICKI HAYWOOD (PHD)
Entity Type:Individual
Prefix:DR
First Name:VICKI
Middle Name:HAYWOOD
Last Name:DOE
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:6004 YOUNGSTOWN WARREN RD # 1019
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-4603
Mailing Address - Country:US
Mailing Address - Phone:234-813-4304
Mailing Address - Fax:
Practice Address - Street 1:470 W BROAD ST # 1270
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-2759
Practice Address - Country:US
Practice Address - Phone:234-813-4304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2023-07-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist