Most Relevant Information
Provider Data
| NPI Number: | 1003216128 |
| Provider Name: | TENAYA LATRICE YARBROUGH-MAXWELL M.A.-CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP17764 |
Most Important Dates
| Enumeration Date: | 08/26/2014 |
| Last Updated: | 08/26/2014 |
Provider Practice Location
4602 W OSLIN AVE
FRESNO
CA
937227368
Practice Location Phone/Fax
| Phone: | 5597613813 |
| Fax: |
Provider Mailing Location
4602 W OSLIN AVE
FRESNO
CA
937227368
Provider Mailing Phone/Fax
| Phone: | 5597613813 |
| Fax: |