Individual
MRS. MELISSA KAY LONGHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4301 N SARA RD STE 120, YUKON, OK 73099-3682
(405) 982-2086
(405) 900-4062
Mailing address
4301 N SARA RD STE 120, YUKON, OK 73099-3682
(405) 328-8781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1770
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12116391
ASHA NUMBER
—
Enumeration date
05/13/2011
Last updated
10/23/2023
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