Doctor Name: | HILAY JARMAN MAYO |
NPI Number: | 1528409521 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH PATHOLOGIST |
License Number: | 108928 |
Business Practice Address: | 2117 S Fleishel Ave Tyler, TX - 757014440 |
Business Phone Number: | 9035815421 |
Business Fax Number: | |
Mailing Address: | 5113 Kingspark Circle, TYLER |
State: | TX |
Postal Code: | 75703 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/08/2013 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 108928 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |