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Organization
SPEECH PATHOLOGY SERVICES, LLC
Active
Organization
SPEECH PATHOLOGY SERVICES, LLC
Active
Parent organization
BRENDA DAVIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRENDA DAVIS
Authorized official
BRENDA DAVIS M.ED., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(405) 640-7045
Entity
Organization
Contact information
Practice address
8524 S WESTERN AVE, SUITE - 112, OKLAHOMA CITY, OK 73139-9246
(405) 640-7045
(405) 702-9397
Mailing address
8524 S WESTERN AVE, SUITE - 112, OKLAHOMA CITY, OK 73139-9246
(405) 640-7045
(405) 702-9397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2755
OK
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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