Individual
MS. MEGAN WACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. C.C.C. - S.L.P.
Contact information
Practice address
316 W WASHINGTON STREET, SUITE D, PURCELL, OK 73080
(405) 609-4618
Mailing address
1728 NW 36TH ST, OKLAHOMA CITY, OK 73118-3227
(580) 817-0814
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5152
OK
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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