Individual
JENNA BETH SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4245 S 188TH EAST AVE, TULSA, OK 74134-7267
(918) 704-2760
Mailing address
10009 S MAPLEWOOD PL, TULSA, OK 74137-5506
(580) 334-4259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5289
OK
Other
Enumeration date
04/02/2020
Last updated
04/26/2022
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