Provider Demographics
NPI:1639460256
Name:HAYES, ALISON M (MS, CCC-SLP/L)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:M
Last Name:HAYES
Suffix:
Gender:F
Credentials:MS, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5608 NW 60TH ST
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73122-7333
Mailing Address - Country:US
Mailing Address - Phone:405-650-5592
Mailing Address - Fax:
Practice Address - Street 1:5608 NW 60TH ST
Practice Address - Street 2:
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73122-7333
Practice Address - Country:US
Practice Address - Phone:405-650-5592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2862235Z00000X
OK12042336235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist