Individual
CAROLYN DURBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2316 EASTRIDGE CIR, MOORE, OK 73160-8941
(405) 476-4044
Mailing address
2316 EASTRIDGE CIR, MOORE, OK 73160-8941
(405) 476-4044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14156741
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14156741
ASHA CERTIFICATION
OK
Enumeration date
04/06/2017
Last updated
04/06/2017
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