Individual
MATTIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-2200
Mailing address
1129 S ATLANTA AVE, TULSA, OK 74104-3942
(918) 688-0299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF521
OK
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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