Provider Demographics
NPI:1679796676
Name:DAVIS HAYES, TOYIA L (DEV THERP INIT EVAL)
Entity Type:Individual
Prefix:MS
First Name:TOYIA
Middle Name:L
Last Name:DAVIS HAYES
Suffix:
Gender:F
Credentials:DEV THERP INIT EVAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8136 S MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-3019
Mailing Address - Country:US
Mailing Address - Phone:312-282-5347
Mailing Address - Fax:773-488-5052
Practice Address - Street 1:8136 S MORGAN ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-3019
Practice Address - Country:US
Practice Address - Phone:312-282-5347
Practice Address - Fax:773-488-5052
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILTD62770503222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist