Individual
BRENNA BASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7102 NW CACHE RD, LAWTON, OK 73505-2710
(580) 280-4651
(580) 280-4652
Mailing address
19713 FILLY DR, EDMOND, OK 73012-3469
(405) 248-7373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
04/14/2026
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