Individual
CAROL BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6715 E 41ST ST, TULSA, OK 74145-4520
(918) 806-0013
Mailing address
9439 E 81ST ST APT 413, TULSA, OK 74133-8103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4233
OK
Other
Enumeration date
06/23/2014
Last updated
06/26/2015
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