Individual
AMY LYNN DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1200 N STONEWALL AVE, JOHN W KEYS SPEECH AND HEARING CENTER, OKLAHOMA CITY, OK 73117-1215
(405) 271-4214
(405) 271-3360
Mailing address
1200 N STONEWALL AVE, JOHN W KEYS SPEECH AND HEARING CENTER, OKLAHOMA CITY, OK 73117-1215
(405) 271-4214
(405) 271-3360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2907
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100674100A
—
OK
01
—
736017987
TAX ID
OK
Enumeration date
07/06/2006
Last updated
03/12/2009
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