Provider Demographics
NPI:1770892499
Name:THURBER, HAYDEE DAWN (MA, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:HAYDEE
Middle Name:DAWN
Last Name:THURBER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 PALMER VW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-7279
Mailing Address - Country:US
Mailing Address - Phone:956-496-8707
Mailing Address - Fax:
Practice Address - Street 1:5337 S PADRE ISLD HWY
Practice Address - Street 2:STE. B
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4409
Practice Address - Country:US
Practice Address - Phone:956-428-7200
Practice Address - Fax:956-428-7202
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104632235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist