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Organization
OPAL SPEECH CLINIC PLLC
Active
Organization
OPAL SPEECH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRILBY D. SCHMIDT M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(580) 327-0091
Entity
Organization
Contact information
Practice address
921 OKLAHOMA BLVD, ALVA, OK 73717-2631
(580) 220-7461
(580) 327-0091
Mailing address
921 OKLAHOMA BLVD STE A, ALVA, OK 73717-2631
(580) 220-7461
(580) 327-0091
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2325
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01111392
ASHA LICENSE
OK
05
—
100677360D
—
OK
Enumeration date
03/02/2017
Last updated
03/02/2017
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