Individual
DEANN G MERCIEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
202 E 2ND AVE, 106, OWASSO, OK 74055-3132
(918) 609-8784
(918) 517-3041
Mailing address
202 E 2ND AVE, 106, OWASSO, OK 74055-3132
(918) 609-8784
(918) 517-3041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3085
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200299110A
CAQH - 12151600
OK
Enumeration date
08/24/2010
Last updated
09/05/2012
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