Individual
YULISA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
4300 HIGHLINE BLVD STE 200D, OKLAHOMA CITY, OK 73108-1843
(405) 945-0881
Mailing address
4300 HIGHLINE BLVD STE 200D, OKLAHOMA CITY, OK 73108-1843
(405) 945-0881
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA275
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPA275
OKLAHOMA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
OK
Enumeration date
06/02/2022
Last updated
06/02/2022
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