Individual
AMANDA TARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8506 E 61ST ST, TULSA, OK 74133-1916
(918) 357-4321
Mailing address
8506 E 61ST ST, TULSA, OK 74133-1916
(918) 357-4321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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