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Individual

ALISHA KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CF-SLP

Contact information

Practice address
605 N BROADWAY ST, TISHOMINGO, OK 73460-1306
(805) 371-2548
Mailing address
PO BOX 732, KINGSTON, OK 73439-0732
(505) 695-6984

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist
CF738
OK
235Z00000X
Speech-Language Pathologist
Primary
SP6521
OK

Other

Enumeration date
02/18/2020
Last updated
07/10/2025
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