Individual
MRS. MEGAN JEAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
(918) 615-6493
Mailing address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
(918) 615-6493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12153145
—
235Z00000X
Speech-Language Pathologist
Primary
4272
OK
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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