Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor |
NPI | 1174189054 |
---|---|
Provider Name | Dr. Zelda Hayes |
First Address | Pensacola, FL 32504-4976 |
Second Address | Pensacola, FL 32504-4976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2019 |
Last Update Date | 15/05/2019 |