Individual
MRS. MAICI L TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
601 SE 6TH ST, WAGONER, OK 74467-6212
(918) 485-3692
Mailing address
15142 S 290TH EAST AVE, COWETA, OK 74429-2214
(918) 718-5780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5591
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14338716
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
—
01
—
5591
OKLAHOMA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
OK
Enumeration date
08/09/2021
Last updated
08/09/2021
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