Organization
SANTA FE SOUTH SCHOOLS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI SHERIDAN (CREDENTIALING COORDINATOR)
(405) 355-3239
Entity
Organization
Contact information
Practice address
4825 S SHIELDS BLVD, OKLAHOMA CITY, OK 73129-3211
(405) 601-5440
Mailing address
4825 S SHIELDS BLVD, OKLAHOMA CITY, OK 73129-3211
(405) 601-5440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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