Individual
EMILY FAYE THEILEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N PERKINS RD APT G14, STILLWATER, OK 74075-7132
(580) 541-1227
Mailing address
1200 N PERKINS RD APT G14, STILLWATER, OK 74075-7132
(580) 541-1227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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