Individual
MRS. TERA LEANN UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
604 S CLASSEN AVE, #A, MOORE, OK 73160-5401
(405) 735-6333
Mailing address
1120 SW 129TH ST, OKLAHOMA CITY, OK 73170-6991
(405) 691-6074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2431
OK
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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