Individual
MRS. AMBER ZUMWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED CCC-SLP
Contact information
Practice address
5704 NW 163RD TER, EDMOND, OK 73013-9434
(405) 659-5857
Mailing address
5704 NW 163RD TER, EDMOND, OK 73013-9434
(405) 659-5857
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09144518 ASHA
OK
235Z00000X
Speech-Language Pathologist
2644
OK
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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