Individual
GLORY C BOWCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2219 SW 74TH ST STE 109-115, OKLAHOMA CITY, OK 73159-3931
(405) 355-3239
Mailing address
2219 SW 74TH ST STE 109-115, OKLAHOMA CITY, OK 73159-3931
(405) 355-3239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
2355S0801X
Speech-Language Assistant
Primary
SLPA434
OK
Other
Enumeration date
04/10/2025
Last updated
05/27/2026
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