MEDICARE: MS. PATRICIA J HAYES PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	4580	OH

General Provider Information

NPI Number	:	1043209976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA J HAYES PSY.D.

Provider Business Mailing Address
First Line	:	77 W ELMWOOD DR
Second Line	:	SUITE 202
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-4239
Country	:	US
Telephone Number	:	937-436-0700
Fax Number	:	937-424-5749

Provider Business Practice Location Address
First Line	:	77 W ELMWOOD DR
Second Line	:	SUITE 202
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-4239
Country	:	US
Telephone Number	:	937-436-0700
Fax Number	:	937-424-5749

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	07/08/2007

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1235146341 — MS. ARLYNN J. MAHEFKEY LPCC
Practice Location Address:

77 W ELMWOOD DR , SUITE 103
CENTERVILLE FINANCE, OH
45459-4239

Practice Phone: 927-433-8737
Practice Fax: 937-433-9782

1598843799 — BETSEY KERR WILLHELM MS, LPCC
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77 W ELMWOOD DR , SUITE 202
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1740339845 — ELLEN KUBAY ADKINS
Practice Location Address:

77 W ELMWOOD DR , 116
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Practice Phone: 937-433-4430
Practice Fax:

1679758650 — PATRICIA J. HAYES, PSY.D ASSOCIATES
Practice Location Address:

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CENTERVILLE, OH
45459-4239

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1366620387 — LINDA L. NACE-THOMAS MS,LSW,PC
Practice Location Address:

77 W ELMWOOD DR , SUITE 202
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1891090296 — DR. MEREDITH GLICK BRINEGAR PHD
Practice Location Address:

77 W ELMWOOD DR , SUITE 202
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Practice Fax:

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