Provider Demographics
NPI:1659032878
Name:GARAY, LAKIN DENA' (CF-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAKIN
Middle Name:DENA'
Last Name:GARAY
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:LAKIN
Other - Middle Name:DENA'
Other - Last Name:WINTERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 454
Mailing Address - Street 2:
Mailing Address - City:GOODWELL
Mailing Address - State:OK
Mailing Address - Zip Code:73939-0454
Mailing Address - Country:US
Mailing Address - Phone:580-651-1997
Mailing Address - Fax:
Practice Address - Street 1:400 E 7TH
Practice Address - Street 2:
Practice Address - City:SUNRAY
Practice Address - State:TX
Practice Address - Zip Code:79086-1724
Practice Address - Country:US
Practice Address - Phone:806-948-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118358235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist