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Organization
THAYNE A HEDGES REGIONAL SPEECH AND HEARING CENTER INC
Active
Organization
THAYNE A HEDGES REGIONAL SPEECH AND HEARING CENTER INC
Active
Other names
Hedges Regional Speech and Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN M BALL (EXEC DIRECTOR)
(580) 234-3734
Entity
Organization
Contact information
Practice address
2615 E RANDOLPH AVE, ENID, OK 73701-4670
(580) 234-3734
(580) 234-2615
Mailing address
2615 E RANDOLPH AVE, ENID, OK 73701-4670
(580) 234-3734
(580) 234-2615
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
90
OK
235Z00000X
Speech-Language Pathologist
114
OK
235Z00000X
Speech-Language Pathologist
2181
OK
235Z00000X
Speech-Language Pathologist
Primary
2571
OK
235Z00000X
Speech-Language Pathologist
2948
OK
235Z00000X
Speech-Language Pathologist
53
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100653300B
—
OK
05
—
100659190A
—
OK
05
—
100660610A
—
OK
05
—
100662450B
—
OK
05
—
100664980A
—
OK
05
—
100757400A
—
OK
05
—
100757400B
—
OK
05
—
100757400C
—
OK
05
—
100757400E
—
OK
05
—
200013580A
—
OK
Enumeration date
11/15/2006
Last updated
06/12/2023
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