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Organization

THAYNE A HEDGES REGIONAL SPEECH AND HEARING CENTER INC

Active
Other names
Hedges Regional Speech and Hearing Center
Organization subpart
No

Provider details

NPI number
Authorized official
CARMEN M BALL (EXEC DIRECTOR)
(580) 234-3734
Entity
Organization

Contact information

Practice address
2615 E RANDOLPH AVE, ENID, OK 73701-4670
(580) 234-3734
(580) 234-2615
Mailing address
2615 E RANDOLPH AVE, ENID, OK 73701-4670
(580) 234-3734
(580) 234-2615

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
90
OK
235Z00000X
Speech-Language Pathologist
114
OK
235Z00000X
Speech-Language Pathologist
2181
OK
235Z00000X
Speech-Language Pathologist
Primary
2571
OK
235Z00000X
Speech-Language Pathologist
2948
OK
235Z00000X
Speech-Language Pathologist
53
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100653300B
OK
05
100659190A
OK
05
100660610A
OK
05
100662450B
OK
05
100664980A
OK
05
100757400A
OK
05
100757400B
OK
05
100757400C
OK
05
100757400E
OK
05
200013580A
OK
Enumeration date
11/15/2006
Last updated
06/12/2023
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