Provider Demographics
NPI:1285874859
Name:HAYWARD, YVONNE MAE (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:MAE
Last Name:HAYWARD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CROSS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:ME
Mailing Address - Zip Code:04623-3138
Mailing Address - Country:US
Mailing Address - Phone:207-483-2808
Mailing Address - Fax:207-255-6457
Practice Address - Street 1:105 CROSS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:ME
Practice Address - Zip Code:04623-3138
Practice Address - Country:US
Practice Address - Phone:207-483-2808
Practice Address - Fax:207-255-6457
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP1349235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist