Basic Information
| Provider Information | |||||||||
| NPI: | 1427628304 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOYEZ | ||||||||
| FirstName: | TIANA | ||||||||
| MiddleName: | CAMILLE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1425 HAMPSHIRE AVE S APT 207 | ||||||||
| Address2: | |||||||||
| City: | ST LOUIS PARK | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554262162 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7634425178 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3400 W 66TH ST STE 300 | ||||||||
| Address2: | |||||||||
| City: | EDINA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554352110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9529141965 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2021 | ||||||||
| LastUpdateDate: | 07/01/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 10562 | MN | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.