Individual
MRS. ALLISON CLANTON DEIMUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
9201 S I 35 SERVICE RD, MOORE, OK 73160-9046
(405) 601-4303
Mailing address
908 NW 16TH ST, OKLAHOMA CITY, OK 73106-6404
(580) 445-8312
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5127
OK
Other
Enumeration date
09/07/2020
Last updated
02/22/2021
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