Individual
EMILY HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
6905 NW 122ND ST, OKLAHOMA CITY, OK 73142-3903
(405) 603-6622
Mailing address
6905 NW 122ND ST, OKLAHOMA CITY, OK 73142-3903
(405) 603-6622
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200091410A
—
OK
Enumeration date
09/20/2006
Last updated
04/14/2015
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