Individual
DANIELLE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 E 3RD ST, GROVE, OK 74344-7973
(918) 964-7025
(918) 964-7024
Mailing address
26315 S 545 RD, AFTON, OK 74331-6497
(918) 964-7025
(918) 964-7024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2513
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2513
OKLAHOMA BOARD OF EXAMINERS SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
OK
Enumeration date
01/17/2016
Last updated
01/17/2016
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