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Organization
OKLAHOMA STATE UNIVERSITY
Active
Organization
OKLAHOMA STATE UNIVERSITY
Active
Parent organization
STATE OF OKLAHOMA
Other names
OSU Speech-Language-Hearing Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF OKLAHOMA
Authorized official
DONITA R TEFFT (AUTHORIZED OFFICIAL)
(405) 744-8939
Entity
Organization
Contact information
Practice address
042 MURRAY, STILLWATER, OK 74078
(405) 744-6021
(405) 744-8070
Mailing address
042 MURRAY, STILLWATER, OK 74078-5062
(405) 744-6021
(405) 744-8070
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
OK
235Z00000X
Speech-Language Pathologist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100757330B
—
OK
Enumeration date
08/28/2006
Last updated
06/05/2018
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