Provider Demographics
NPI:1710681366
Name:HAYWOOD, DAYJAHNE MARIE
Entity Type:Individual
Prefix:
First Name:DAYJAHNE
Middle Name:MARIE
Last Name:HAYWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S BURRIS AVE
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-3945
Mailing Address - Country:US
Mailing Address - Phone:424-227-1537
Mailing Address - Fax:
Practice Address - Street 1:700 S BURRIS AVE
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-3945
Practice Address - Country:US
Practice Address - Phone:424-227-1537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No104100000XBehavioral Health & Social Service ProvidersSocial Worker