Provider Demographics
NPI:1760647432
Name:HAYES, CHRISTINE E (MED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:HAYES
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:MARXER-
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED,CCC-SLP
Mailing Address - Street 1:17721 SPACIOUS SKY CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-8773
Mailing Address - Country:US
Mailing Address - Phone:405-974-1193
Mailing Address - Fax:
Practice Address - Street 1:17721 SPACIOUS SKY CT
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-8773
Practice Address - Country:US
Practice Address - Phone:405-974-1193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3098235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist