Individual
BETH LEANN CAMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6304 REDBUD RIDGE RD, OKLAHOMA CITY, OK 73162-3421
(405) 747-7253
(405) 594-7420
Mailing address
720 AZALEA HILL DR, YUKON, OK 73099-6504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3524
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200352800A
—
OK
Enumeration date
07/19/2011
Last updated
11/26/2022
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